Jelena Petkovic in Miami Beach - Physician Assistant
Jelena Petkovic - NPI 1801916127
Jelena Petkovic is a Physician Assistant in Miami Beach, Florida. Jelena Petkovic practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Jelena Petkovic is 1801916127. The last update date is 2007-07-08.
Jelena Petkovic's current location address is 1900 Sunset Harbor Dr, Miami Beach, Florida. You can contact this provider via phone number 3056240009 and fax number 3053731175. The mailing address for Jelena Petkovic is 1900 Sunset Harbor Dr, Miami Beach, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jelena Petkovic |
|---|---|
| Address | 1900 Sunset Harbor Dr, Miami Beach, Florida |
| Phone Number | 3056240009 |
| Fax Number | 3053731175 |
| Sole Proprietor | N |
| Credentials | PA |
NPI Number Detail
| NPI Number | 1801916127 |
|---|---|
| Provider Enumeration Date | 2007-03-30 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1900 Sunset Harbor Dr |
|---|---|
| City | Miami Beach |
| State | Florida (FL) |
| Post Code | 33139 |
| Phone Number | 3056240009 |
| Fax Number | 3053731175 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | PA9103145 |
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Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
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What is the unique 10-digit identifier code issued to Jelena Petkovic by the Centers for Medicare & Medicaid Services?
The Jelena Petkovic has been assigned the NPI (National Provider Identifier) 1801916127 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Where is the Jelena Petkovic located?
The Jelena Petkovic is located at 1900 Sunset Harbor Dr, Miami Beach, FL 33139.
What is the area of specialization for Jelena Petkovic, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Jelena Petkovic is Physician Assistant, and the corresponding taxonomy code that categorizes this area of expertise is 363A00000X.
When did Jelena Petkovic receive its 1801916127 assignment?
The Jelena Petkovic was assigned its 1801916127 on 2007-03-30, which is the date when this unique identifier was issued to the organization.
When was the information regarding Jelena Petkovic, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Jelena Petkovic, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2007-07-08.