Healthcare Provider Details

I. General information

NPI: 1770473217
Provider Name (Legal Business Name): KOVO CLINICS FL, P.A.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/07/2025
Last Update Date: 07/07/2025
Certification Date: 07/07/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 MARKET ST # 3200B
SAN FRANCISCO CA
94105-1420
US

IV. Provider business mailing address

1 MARKET ST # 3200B
SAN FRANCISCO CA
94105-1420
US

V. Phone/Fax

Practice location:
  • Phone: 863-400-0687
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number
License Number State

VIII. Authorized Official

Name: YURY YAKUBCHYK
Title or Position: PRESIDENT
Credential: MD
Phone: 863-400-0687