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Individual

DUSAN DRAGOVIC

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
5300 W HILLSBORO BLVD, SUITE 206, COCONUT CREEK, FL 33073-4395
(954) 420-9908
(954) 420-9911
Mailing address
5300 W HILLSBORO BLVD, SUITE 206, COCONUT CREEK, FL 33073-4395
(954) 420-9908
(954) 420-9911

Taxonomy

Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
ME89623
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
270686500
FL
01
48375Z
MEDICARE ID
FL
Enumeration date
05/24/2006
Last updated
08/12/2015
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