MEDICARE: LUIS A JOVEL MD PA

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	207Q00000X	Family Medicine Physician	ME64801	FL

General Provider Information

NPI Number	:	1750509519
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LUIS A JOVEL MD PA

Provider Business Mailing Address
First Line	:	2323 1ST AVE N
Second Line	:
City	:	ST PETERSBURG
State	:	FL
Zip	:	33713-8818
Country	:	US
Telephone Number	:	727-327-5188
Fax Number	:	727-321-3728

Provider Business Practice Location Address
First Line	:	2323 1ST AVE N
Second Line	:
City	:	ST PETERSBURG
State	:	FL
Zip	:	33713-8818
Country	:	US
Telephone Number	:	727-327-5188
Fax Number	:	727-321-3728

Authorized Official
Title or Position	:	OWNER
Name	:	DR. LUIS A JOVEL
Credential	:	M.D., P.A.
Telephone Number	:	727-327-5188

Provider Enumeration Date	:	04/24/2007
Last Update Date	:	11/13/2007

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