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NPI Code Detail

MEDICARE: PETER LOUIS KOVACS MD

MEDICARE: PETER LOUIS KOVACS MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207L00000XAnesthesiology PhysicianME 72831FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1013909860
Entity Type Code : Individual
Provider Name (Legal Business Name) : PETER LOUIS KOVACS MD
Provider Business Mailing Address
First Line : PO BOX 44008
Second Line :
City : JACKSONVILLE
State : FL
Zip : 32231-4008
Country : US
Telephone Number : 904-244-3660
Fax Number : 904-244-3425
Provider Business Practice Location Address
First Line : 3625 UNIVERSITY BLVD S
Second Line :
City : JACKSONVILLE
State : FL
Zip : 32216-4207
Country : US
Telephone Number : 904-421-2119
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/18/2005
Last Update Date : 07/11/2017

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