Individual
TOMISLAV IVSIC
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1717 S ORANGE AVE, SUITE 100, ORLANDO, FL 32806-2944
(407) 650-7715
(407) 650-7124
Mailing address
PO BOX 191, ROCKLAND, DE 19732-0191
(302) 651-6212
(302) 651-4945
Taxonomy
Speciality
Code
Description
License number
State
2080P0202X
Pediatric Cardiology Physician
Primary
ME 99647
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
279375000
—
FL
Enumeration date
02/20/2007
Last updated
09/14/2012
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