MEDICARE: ANNE JONES KOVACS PSYD

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	103TC0700X	Clinical Psychologist	PY8903	FL
2	103T00000X	Psychologist	PY8903	FL

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

General Provider Information

NPI Number	:	1922344266
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANNE JONES KOVACS PSYD

Provider Business Mailing Address
First Line	:	1013 E MICHIGAN ST
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32806-4704
Country	:	US
Telephone Number	:	515-710-8424
Fax Number	:	407-915-3911

Provider Business Practice Location Address
First Line	:	1013 E MICHIGAN ST
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32806-4704
Country	:	US
Telephone Number	:	407-985-1927
Fax Number	:	407-915-3911

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

Provider Enumeration Date	:	12/13/2012
Last Update Date	:	11/05/2019

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