MEDICARE: JULIA HAVLOVIC 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
1	207Q00000X	Family Medicine Physician	ME146488	FL
2	207Q00000X	Family Medicine Physician	4814	AK

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	4814	OTHER	AK	OCCUPATIONAL LICENSE
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1538329628
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JULIA HAVLOVIC MD

Provider Business Mailing Address
First Line	:	102 WOODMONT BLVD STE 600
Second Line	:
City	:	NASHVILLE
State	:	TN
Zip	:	37205-5250
Country	:	US
Telephone Number	:	888-987-1151
Fax Number	:

Provider Business Practice Location Address
First Line	:	4430 14TH ST W
Second Line	:
City	:	BRADENTON
State	:	FL
Zip	:	34207-1425
Country	:	US
Telephone Number	:	941-297-2123
Fax Number	:	941-297-2210

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/11/2008
Last Update Date	:	01/07/2026

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