Doreen Radjenovic in Jacksonville - Pediatrics
Doreen Radjenovic - NPI 1033200043
Doreen Radjenovic is a Pediatrics in Jacksonville, Florida. Doreen Radjenovic practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Doreen Radjenovic is 1033200043. The last update date is 2011-09-16.
Doreen Radjenovic's current location address is 807 Childrens Way, Jacksonville, Florida. You can contact this provider via phone number 9043903759 and fax number 9043903429. The mailing address for Doreen Radjenovic is 807 Childrens Way, Jacksonville, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Doreen Radjenovic |
|---|---|
| Address | 807 Childrens Way, Jacksonville, Florida |
| Phone Number | 9043903759 |
| Fax Number | 9043903429 |
| Sole Proprietor | N |
| Credentials | ARNP |
NPI Number Detail
| NPI Number | 1033200043 |
|---|---|
| Provider Enumeration Date | 2006-09-27 |
| Last Updated Date | 2011-09-16 |
Provider Mailing Address Detail
| Address | 807 Childrens Way |
|---|---|
| City | Jacksonville |
| State | Florida (FL) |
| Post Code | 322078426 |
| Phone Number | 9043903759 |
| Fax Number | 9043903429 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatrics |
|---|---|
| Taxonomy | 363Lp0200X |
| Licence No | ARNP1607022 |
|
Definition: An advanced practice registered nurse expert in providing care to infants, children and adolescents. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 257733000 | FL | -- | |
| 783679869A | GA | -- |
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What is the Doreen Radjenovic's unique identification number?
The Doreen Radjenovic has been assigned the NPI (National Provider Identifier) Number 1033200043 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you share the physical location details of Doreen Radjenovic?
The Doreen Radjenovic is situated at 807 Childrens Way, in the city of Jacksonville, state of FL, with the zip code 322078426.
What is Doreen Radjenovic's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Doreen Radjenovic is Pediatrics, and the taxonomy classification code that categorizes this area of expertise is 363Lp0200X.
When was the Doreen Radjenovic's 1033200043 issued?
The Doreen Radjenovic's 1033200043 was issued on 2006-09-27.
As of what date were the Doreen Radjenovic's details last updated?
The information pertaining to the Doreen Radjenovic, including its address, specialty, and other details, was most recently updated on 2011-09-16.
NPI Number: 1356344279
Address: Mount St. Mary's Hospital Laboratory, Lewiston, NY