Individual provider Active NPI

Jovinsky Jonaldo Eliscard

  • Family Nurse Practitioner
  • Bradenton, FL
National Provider Identifier
1811729007
Registry record updated Aug 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
11033422 Issued in FL
Practice address
5857 21St Ave W Ste a
Bradenton, FL 34209-5641
Phone
(941) 241-8015
NPI assigned
Aug 15, 2024
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 15, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 11033422 FL Primary

Addresses

Primary practice location

5857 21St Ave W Ste a
Bradenton, FL 34209-5641

Mailing address

17031 Peaceful Valley Dr
Wimauma, FL 33598-4269
Phone (941) 447-8928

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
11033422FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Gulf Coast Pulmonary and Sleep, LLC CurrentSince Aug 18, 2024 Accepting new patients
Saving Lives Medical LLC CurrentSince Sep 15, 2024 Accepting new patients

Locations

5857 21st Ave W
#A
Bradenton, FL 34209
Phone (941) 241-8015

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1723680000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723680000000",
    "number": "1811729007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17031 PEACEFUL VALLEY DR",
            "city": "WIMAUMA",
            "state": "FL",
            "postal_code": "335984269",
            "telephone_number": "941-447-8928"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5857 21ST AVE W STE A",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342095641",
            "telephone_number": "941-241-8015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELISCARD",
        "first_name": "JOVINSKY",
        "middle_name": "JONALDO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-08-15",
        "last_updated": "2024-08-15",
        "certification_date": "2024-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11033422",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bradenton, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.