Healthcare Provider Details

I. General information

NPI: 1780658054
Provider Name (Legal Business Name): JOSHUA DAVID ROVIN MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/14/2006
Last Update Date: 03/02/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

455 PINELLAS ST. SUITE 320
CLEARWATER FL
33756-3369
US

IV. Provider business mailing address

PO BOX 743409
ATLANTA GA
30374-3409
US

V. Phone/Fax

Practice location:
  • Phone: 727-446-2273
  • Fax: 727-441-4966
Mailing address:
  • Phone: 727-532-0002
  • Fax: 727-532-1325

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208G00000X
TaxonomyThoracic Surgery (Cardiothoracic Vascular Surgery) Physician
License NumberME93801
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: