Healthcare Provider Details

I. General information

NPI: 1649554882
Provider Name (Legal Business Name): OLIVERA JOVIC DPM
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/06/2011
Last Update Date: 09/25/2025
Certification Date: 09/25/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4600 HALE PKWY STE 460
DENVER CO
80220-4013
US

IV. Provider business mailing address

4600 HALE PKWY STE 460
DENVER CO
80220-4013
US

V. Phone/Fax

Practice location:
  • Phone: 303-321-4477
  • Fax: 303-321-5323
Mailing address:
  • Phone: 303-321-4477
  • Fax: 303-321-5323

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code213ES0103X
TaxonomyFoot & Ankle Surgery Podiatrist
License Number815
License Number StateCO
# 2
Primary TaxonomyN
Taxonomy Code213ES0103X
TaxonomyFoot & Ankle Surgery Podiatrist
License NumberPO 3558
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: