Organization
MARIANA MARTINASEVIC MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARIANA MARTINASEVIC M D (CEO)
(954) 491-4455
Entity
Organization
Contact information
Practice address
6245 N FEDERAL HWY, SUITE 201, FT LAUDERDALE, FL 33308-1998
(954) 491-4455
(954) 491-4553
Mailing address
6245 N FEDERAL HWY, SUITE 201, FT LAUDERDALE, FL 33308-1998
(954) 491-4455
(954) 491-4553
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
ME87810
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
37860I
BLUE CROSS BLUE SHIELD
FL
Enumeration date
07/22/2006
Last updated
03/25/2008
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