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1073567186
JACK DEROVANESIAN
NAPLES, FL
NPI
1073567186
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207P00000X Emergency Medicine
(Licence: FL ME26879)
Enumeration Date
2006-05-22
Last Update Date
2008-05-12
Business Address
-- JACK DEROVANESIAN MD
6400 DAVIS BLVD STE 103
NAPLES, FL 34104-5321
Phone number: 239-775-2300
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Mailing Address
-- JACK DEROVANESIAN MD
PO BOX 160448
MIAMI, FL 33116-0448
Phone number: 239-262-4519
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