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Individual

MS. DIANA C OBRADOVIC

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
4343 W NEWBERRY RD, SUITE 10, GAINESVILLE, FL 32607-2825
(352) 373-2340
(352) 373-3140
Mailing address
4881 NW 8TH AVE, SUITE 2, GAINESVILLE, FL 32605-4582
(352) 416-1082
(352) 373-6144

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA9102499
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
122670500
FL
Enumeration date
01/13/2006
Last updated
08/02/2024
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