| Jolita Klementaviciene Md Pa | |
|
1118 Gulf Breeze Pkwy Suite 205 Gulf Breeze FL 32561-7800 | |
| (850) 934-9050 | |
| (850) 934-9580 |
| Full Name | Jolita Klementaviciene Md Pa |
|---|---|
| Speciality | Internal Medicine |
| Location | 1118 Gulf Breeze Pkwy, Gulf Breeze, Florida |
| Authorized Official Name and Position | Jolita Klementaviciene (OWNER) |
| Authorized Official Contact | 8509349050 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Jolita Klementaviciene Md Pa 1118 Gulf Breeze Pkwy Suite 205 Gulf Breeze FL 32561-7800 Ph: (850) 934-9050 | Jolita Klementaviciene Md Pa 1118 Gulf Breeze Pkwy Suite 205 Gulf Breeze FL 32561-7800 Ph: (850) 934-9050 |
| NPI Number | 1700066834 |
|---|---|
| Provider Enumeration Date | 11/06/2007 |
| Last Update Date | 09/10/2008 |
| Medicare PECOS PAC ID | 5698841039 |
|---|---|
| Medicare Enrollment ID | O20080908000586 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700066834 | NPI | - | NPPES |
| 257666000 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | ME77898 (Florida) | Primary |
| Provider Name | Jolita Klementaviciene |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1053301101 PECOS PAC ID: 8729048871 Enrollment ID: I20041013001196 |
Live Oak Medical Associates, P.a. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2896 Gulf Breeze Pkwy, Gulf Breeze, FL 32563 Phone: 850-932-2203 Fax: 850-934-0050 | |
Gulf Coast Family Medicine Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1020 Gulf Breeze Pkwy, Gulf Breeze, FL 32561 Phone: 850-437-8625 Fax: 850-916-4715 | |
Goodendos Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 41 Fairpoint Dr Ste B, Gulf Breeze, FL 32561 Phone: 850-733-3636 Fax: 448-444-5678 | |
Janice M Hudson Md Family Medicine Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1337 Country Club Rd, Gulf Breeze, FL 32563 Phone: 850-934-3256 Fax: 850-934-9680 | |
Coastal Medical Integration Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3481 Gulf Breeze Pkwy, Gulf Breeze, FL 32563 Phone: 850-903-1708 | |
Marianne Hazelitt Do Professional Association Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4181 Soundside Dr # B, None, Gulf Breeze, FL 32563 Phone: 310-408-0227 | |
Marta Jacenyik Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3759 Bengal Rd, Gulf Breeze, FL 32563 Phone: 850-934-9866 |