Healthcare Provider Details

I. General information

NPI: 1134357049
Provider Name (Legal Business Name): JOSEPH R. NARVAEZ M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/30/2009
Last Update Date: 08/08/2024
Certification Date: 08/08/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8592 POTTER PARK DR
SARASOTA FL
34238-5467
US

IV. Provider business mailing address

943 S BENEVA RD STE 306
SARASOTA FL
34232-2499
US

V. Phone/Fax

Practice location:
  • Phone: 941-921-6618
  • Fax: 941-922-0556
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number82198
License Number StateSC
# 2
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number2010-01715
License Number StateNC
# 3
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberME159515
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: