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NPI Code Detail

MEDICARE: GABRIELLA ELIZABETH KOVALCIK

MEDICARE: GABRIELLA ELIZABETH KOVALCIK
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
1390200000XStudent in an Organized Health Care Education/Training Program

General Provider Information

NPI Number : 1831025550
Entity Type Code : Individual
Provider Name (Legal Business Name) : GABRIELLA ELIZABETH KOVALCIK
Provider Business Mailing Address
First Line : 3200 S UNIVERSITY DR
Second Line :
City : DAVIE
State : FL
Zip : 33328-2018
Country : US
Telephone Number : 800-541-6682
Fax Number :
Provider Business Practice Location Address
First Line : 3200 S UNIVERSITY DR APT 323
Second Line :
City : DAVIE
State : FL
Zip : 33328-2018
Country : US
Telephone Number : 800-541-6682
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/22/2026
Last Update Date : 06/22/2026

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Directions to “ GABRIELLA ELIZABETH KOVALCIK ” Practice Location

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