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

Jon Jorge Risovas

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1770088957

Jon Jorge Risovas is a Student in an Organized Health Care Education/Training Program in Daytona Beach, Florida. Practices as a sole proprietor. Licensed in Florida.

Licensed in
FL
In the registry since
2018
Specialties on file
2

Practice location Address checks out

1530 Cornerstone Blvd Ste 120
Daytona Beach, FL 32117-7129
Phone: (386) 310-3529
Fax: (386) 310-2106
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 ME146328 (FL)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1770088957
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedMarch 28, 2018
Last updated in NPPESJanuary 22, 2025
Certification dateJanuary 22, 2025
Mailing address222 S Peninsula Dr, Daytona Beach, FL 32118-4422

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