MEDICARE: MS. KARIN JURKOVICOVA

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LA2200X	Adult Health Nurse Practitioner	APRN11040790	FL

General Provider Information

NPI Number	:	1689543332
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. KARIN JURKOVICOVA

Provider Business Mailing Address
First Line	:	1479 ASHDOWN CT
Second Line	:
City	:	SANFORD
State	:	FL
Zip	:	32771-8081
Country	:	US
Telephone Number	:	863-353-6853
Fax Number	:	863-438-2752

Provider Business Practice Location Address
First Line	:	1205 DR MARTIN L KING JR WAY
Second Line	:
City	:	HAINES CITY
State	:	FL
Zip	:	33844-3490
Country	:	US
Telephone Number	:	863-438-2752
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/31/2025
Last Update Date	:	10/31/2025

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