Search › Florida › 207R00000X
Marcy Jackovic
NPI 1699744888 · on the registry since 2006
Practice
- Address
- 17912 Toledo Blade Blvd Unit A
Port Charlotte, FL 33948 - Phone
- (941) 766-1001
- Fax
- (941) 764-7116
- Organisation at this address
- Story Family Medicine
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 3
Registry record
- Primary taxonomy
- 207R00000X
207R00000X
- Also registered as
- 207R00000X
- Licence states on file
- FL, PA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2026-02-03
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Florida