Individual
JOHN N DIDOVIC
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4300 ALTON RD, MIAMI BEACH, FL 33140-2948
(305) 674-2680
(305) 674-3919
Mailing address
720 LAKE RD, MIAMI, FL 33137-3331
(305) 674-2680
(305) 674-3919
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
ME72013
FL
2085R0204X
Vascular & Interventional Radiology Physician
Primary
ME72013
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
260402700
—
FL
01
—
35627
BCBSF
FL
Enumeration date
07/09/2006
Last updated
03/09/2016
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