Individual
JELENA PETKOVIC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1441 BRICKELL AVE, SUITE 300, MIAMI, FL 33131-3425
(305) 624-0009
(305) 373-1175
Mailing address
1900 SUNSET HARBOR DR, # 1115, MIAMI BEACH, FL 33139
(305) 624-0009
(305) 373-1175
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA9103145
FL
Other
Enumeration date
03/30/2007
Last updated
07/08/2007
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