Provider Demographics
NPI:1316303670
Name:JIVCU, UZZIEL (ARNP)
Entity type:Individual
Prefix:
First Name:UZZIEL
Middle Name:
Last Name:JIVCU
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 354034
Mailing Address - Street 2:
Mailing Address - City:PALM COAST
Mailing Address - State:FL
Mailing Address - Zip Code:32135-4034
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:386-264-6727
Practice Address - Street 1:145 CYPRESS POINT PKWY
Practice Address - Street 2:SUITE 105
Practice Address - City:PALM COAST
Practice Address - State:FL
Practice Address - Zip Code:32164-8426
Practice Address - Country:US
Practice Address - Phone:386-283-5654
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-01-01
Last Update Date:2025-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAPRN9307202363LF0000X
FLARNP9307202363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily