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Individual
MARIJANA CEJKOVA
Active
Individual
MARIJANA CEJKOVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA9103573
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
002WH
BLUE CROSS/BLUE SHIELD FLORIDA GROUP ID#
FL
01
—
DS2914
PROV AND GROUP #
FL
01
—
P01014387
RAILROAD MEDICARE
FL
01
—
Y0A4S
BLUE CROSS/BLUE SHIELD FLORIDA ID#
FL
Enumeration date
08/07/2006
Last updated
04/27/2012
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