MEDICARE: NOVARI CARE LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	363LP0808X	Psychiatric/Mental Health Nurse Practitioner
2	207N00000X	Dermatology Physician
3	363LA2200X	Adult Health Nurse Practitioner
4	2084P0800X	Psychiatry Physician
5	261QH0100X	Health Service Clinic/Center
6	363LF0000X	Family Nurse Practitioner
7	208D00000X	General Practice Physician

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1508419961
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NOVARI CARE LLC

Provider Business Mailing Address
First Line	:	PO BOX 344
Second Line	:
City	:	SPARR
State	:	FL
Zip	:	32192-0344
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1306 E SILVER SPRINGS BLVD # 103
Second Line	:
City	:	OCALA
State	:	FL
Zip	:	34470-6800
Country	:	US
Telephone Number	:	352-403-1330
Fax Number	:

Authorized Official
Title or Position	:	BUSINESS MANAGER
Name	:	JOHN DISTEFANO
Credential	:
Telephone Number	:	523-173-2143

Provider Enumeration Date	:	07/24/2019
Last Update Date	:	10/21/2025

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Directions to “NOVARI CARE LLC ” Practice Location

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