Healthcare Provider Details

I. General information

NPI: 1265393953
Provider Name (Legal Business Name): ALESSANDRO IOVANNITTI
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/21/2025
Last Update Date: 12/16/2025
Certification Date: 12/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3625 UNIVERSITY BLVD S FL 32216
JACKSONVILLE FL
32216-4207
US

IV. Provider business mailing address

12487 ACOSTA OAKS DR
JACKSONVILLE FL
32258-4226
US

V. Phone/Fax

Practice location:
  • Phone: 904-702-6111
  • Fax:
Mailing address:
  • Phone: 386-283-7887
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License NumberAPRN11044235
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: