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NPI Code Detail

MEDICARE: SARA LYNN JONOVICH

MEDICARE: SARA LYNN JONOVICH
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
1163W00000XRegistered NurseRN201756AZ
2367500000XCertified Registered Nurse Anesthetist278494AZ

General Provider Information

NPI Number : 1518595107
Entity Type Code : Individual
Provider Name (Legal Business Name) : SARA LYNN JONOVICH
Provider Business Mailing Address
First Line : 15780 NE 15TH AVE
Second Line :
City : NORTH MIAMI BEACH
State : FL
Zip : 33162-5608
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 421 N 21ST AVE
Second Line :
City : HOLLYWOOD
State : FL
Zip : 33020-4013
Country : US
Telephone Number : 305-899-4722
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/30/2020
Last Update Date : 11/10/2025

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Directions to “ SARA LYNN JONOVICH ” Practice Location

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