Organization
INFECTIOUS DISEASES OF THE TREASURE COAST PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DRAGANA ORLOVIC MD (PRESIDENT)
(772) 343-1570
Entity
Organization
Contact information
Practice address
501 NW LAKE WHITNEY PL, SUITE 102, PORT ST LUCIE, FL 34986-1615
(772) 343-1570
(772) 343-1601
Mailing address
501 NW LAKE WHITNEY PL, SUITE 102, PORT ST LUCIE, FL 34986-1615
(772) 343-1570
(772) 343-1601
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
ME 92636
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
273205000
—
FL
Enumeration date
10/26/2009
Last updated
10/26/2009
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