Individual
NIKICA RADOVIC
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2277 PARK PL, BOCA RATON, FL 33486-3119
(561) 305-9795
Mailing address
2277 PARK PL, BOCA RATON, FL 33486-3119
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
11023294
FL
Other
Enumeration date
01/31/2023
Last updated
01/31/2023
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