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NPI Code Detail

MEDICARE: DR. JESSICA NOVOTNY PHARM.D.

MEDICARE: DR. JESSICA NOVOTNY PHARM.D.
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
1183500000XPharmacistPS50403FL

General Provider Information

NPI Number : 1730529991
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JESSICA NOVOTNY PHARM.D.
Provider Business Mailing Address
First Line : 300 PINELLAS ST MS #51
Second Line :
City : CLEARWATER
State : FL
Zip : 33756
Country : US
Telephone Number : 727-462-7335
Fax Number :
Provider Business Practice Location Address
First Line : 300 PINELLAS ST
Second Line :
City : CLEARWATER
State : FL
Zip : 33756-3892
Country : US
Telephone Number : 727-462-7000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/02/2013
Last Update Date : 07/19/2025

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