Individual
SRDJAN PRODANOVICH
Active
Individual
SRDJAN PRODANOVICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
ME95851
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
276398200
—
FL
01
—
53224
BCBS
FL
01
—
7613852
AETNA
—
01
—
P00423914
MEDICARE RAILROAD
FL
Enumeration date
05/28/2006
Last updated
01/23/2014
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