Organization
ZIVKO Z. GAJIC MD. PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAPHNE M HUNTER RMA (OFFICE MANAGER)
(305) 304-3353
Entity
Organization
Contact information
Practice address
2505 FLAGLER AVE, KEY WEST, FL 33040-3934
(305) 735-4177
Mailing address
2505 FLAGLER AVE, KEY WEST, FL 33040-3934
(305) 735-4177
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
ME39762
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
069563700
—
FL
01
—
96002
BCBS
FL
Enumeration date
10/02/2015
Last updated
10/02/2015
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