Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jack Derovanesian, MD

Individual provider Emergency Medicine Physician · NPI 1073567186

Jack Derovanesian, MD is an Emergency Medicine Physician in Naples, Florida. Licensed in Florida. Registered with an NPI since 2006.

Licensed in
FL
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

6400 Davis Blvd Ste 103
Naples, FL 34104-5321
Phone: (239) 775-2300
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence ME26879 (FL)

Record details

NPI number1073567186
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 22, 2006
Last updated in NPPESMay 12, 2008

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