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General NPI Number Information
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NPI Number | 1497909345
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Entity Type | Individual
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Provider Name | IVO JOE DRAZENOVIC NAVARRO M.D.
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Gender | Male
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Dates
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Enumeration Date | 11/05/2008
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Last Update Date | 05/16/2024
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Provider Practice Location Address
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Address Line | 16271 BASS RD
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City | FORT MYERS
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State | FL
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Zip | 33908-3616
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Country | US
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Telephone | 239-343-7100
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Fax | 394-687-9242
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Provider Business Mailing Address
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Address Line | 16271 BASS RD
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City | FORT MYERS
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State | FL
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Zip | 33908-3616
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Country | US
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Telephone | 239-343-7100
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Fax | 239-468-7924
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 273301
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | ME157718
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License Number State | FL
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