Male or Other

Dr. Joesph M. Mavica DO

Psychiatry Physician in Boca Raton, FL(View on Map)

Full Name

Dr. Joesph Mark Mavica DO

NPI Number

1992879803

NPI Type

Individual Provider

Gender

Male

Enumeration Date

11/20/2006

Specialties

(Taxonomies)

Code

2084P0800X

Primary Taxonomy

Yes

Licenses

State

Florida

License Number

050006380

Contact
Information

Purpose

Mailing
Location

Address

18269 FRESH LAKE WAY
2600 NORTH MILITARY TRAIL

City

Boca Raton
Boca Raton

State

FL
FL

Postal Code

33498-1950
33431

Country

US
US

Telephone Number

(561) 395-3778
(561) 395-3778

Identifiers

Identifier

9125960
1529773

Identifier State

FL
FL

Identifier Issuer

AETNA
VBH

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 02/01/2022

Provider Address

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