Ovadal, Kristin J

Ovadal, Kristin J is an individual health care provider with primary practice located at 2441 Surfside Blvd Ste 200 , Cape Coral FL 33914-3861. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Medical. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is her primary health care specialty. Ovadal, Kristin J can be contacted via phone (239) 541-7500.

Contact Information

Primary practice address
2441 Surfside Blvd Ste 200 Cape Coral FL 33914-3861
Phone: (239) 541-7500
Fax: (239) 541-7501
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 608023 Wisconsin
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA9113677 Florida

Profile Details

NPI number 1063407930
LBN Legal business name Ovadal, Kristin J
Credentials PAC
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 15th, 2005
Last updated Jun 14th, 2024 - about 6 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1063407930 NPPES
Florida MEDICAID 108406800

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