Individual
DRAGI BOGDANOVSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
909 STERTHAUS DR, ORMOND BEACH, FL 32174-5133
(386) 673-1717
(386) 672-7879
Mailing address
909 STERTHAUS DR, ORMOND BEACH, FL 32174-5133
(386) 673-1717
(386) 677-0463
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0S11536
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
461074492
FAMILY PRACTICE
FL
Enumeration date
04/06/2009
Last updated
09/20/2018
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