MEDICARE: NOVAK & NOVAK PA

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	174400000X	Specialist	ME47875	FL
2	174400000X	Specialist	ME47513	FL

General Provider Information

NPI Number	:	1730384348
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NOVAK & NOVAK PA

Provider Business Mailing Address
First Line	:	PO BOX 907
Second Line	:
City	:	DESTIN
State	:	FL
Zip	:	32540-0907
Country	:	US
Telephone Number	:	850-837-7777
Fax Number	:	850-837-8801

Provider Business Practice Location Address
First Line	:	994 AIRPORT RD
Second Line	:
City	:	DESTIN
State	:	FL
Zip	:	32541-2820
Country	:	US
Telephone Number	:	850-837-7777
Fax Number	:	850-837-8801

Authorized Official
Title or Position	:	PHYSICIAN
Name	:	YVETTE NOVAK
Credential	:	M.D.
Telephone Number	:	850-837-0141

Provider Enumeration Date	:	06/15/2007
Last Update Date	:	03/20/2012

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Directions to “NOVAK & NOVAK PA ” Practice Location

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