Organization
ADVANCED DIGITAL ANATOMIC PATHOLOGY TECHNOLOGIES, PLLC
Active
Other names
ADAPT
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DRAZEN M JUKIC M.D. PH. D. (PRESIDENT)
(813) 558-8170
Entity
Organization
Contact information
Practice address
27716 CASHFORD CIR, STE 101C, WESLEY CHAPEL, FL 33544-6962
(813) 669-9113
Mailing address
27716 CASHFORD CIR, STE 101C, WESLEY CHAPEL, FL 33544-6962
(813) 669-9113
Taxonomy
Speciality
Code
Description
License number
State
207ZP0101X
Anatomic Pathology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
EL095A
MEDICARE PTAN
FL
Enumeration date
11/19/2012
Last updated
02/13/2013
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