Provider Demographics
NPI:1962698811
Name:SENSAKOVIC, JOY K (PA)
Entity type:Individual
Prefix:MRS
First Name:JOY
Middle Name:K
Last Name:SENSAKOVIC
Suffix:
Gender:F
Credentials:PA
Other - Prefix:MRS
Other - First Name:JOY
Other - Middle Name:K
Other - Last Name:OLSEN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PA
Mailing Address - Street 1:9240 BONITA BEACH RD SE STE 1114
Mailing Address - Street 2:
Mailing Address - City:BONITA SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:34135-4250
Mailing Address - Country:US
Mailing Address - Phone:239-301-0897
Mailing Address - Fax:239-947-0340
Practice Address - Street 1:9240 BONITA BEACH RD SE STE 1114
Practice Address - Street 2:
Practice Address - City:BONITA SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:34135
Practice Address - Country:US
Practice Address - Phone:239-301-0897
Practice Address - Fax:239-947-0340
Is Sole Proprietor?:No
Enumeration Date:2007-09-24
Last Update Date:2018-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPA9102185363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLPA9102185OtherFL LICENSE
FLPA9102185OtherFL LICENSE