Individual
MIRNA PEHLIVANOVIC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1 SHIRCLIFF WAY, JACKSONVILLE, FL 32204-4748
(904) 308-7300
Mailing address
7990 BAYMEADOWS RD E UNIT 113, JACKSONVILLE, FL 32256-2962
(904) 994-8016
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
—
FL
Other
Enumeration date
07/14/2017
Last updated
07/14/2017
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