Provider Demographics
NPI:1497909345
Name:DRAZENOVIC NAVARRO, IVO JOE (MD)
Entity type:Individual
Prefix:
First Name:IVO
Middle Name:JOE
Last Name:DRAZENOVIC NAVARRO
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16271 BASS RD
Mailing Address - Street 2:
Mailing Address - City:FORT MYERS
Mailing Address - State:FL
Mailing Address - Zip Code:33908-3616
Mailing Address - Country:US
Mailing Address - Phone:239-343-7100
Mailing Address - Fax:239-468-7924
Practice Address - Street 1:16271 BASS RD
Practice Address - Street 2:
Practice Address - City:FORT MYERS
Practice Address - State:FL
Practice Address - Zip Code:33908-3616
Practice Address - Country:US
Practice Address - Phone:239-343-7100
Practice Address - Fax:394-687-9242
Is Sole Proprietor?:Yes
Enumeration Date:2008-11-05
Last Update Date:2024-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY273301207Q00000X
FLME157718207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine