Juricic, Marilyn L
Juricic, Marilyn L is an sole proprietor health care provider with primary practice located at 1400 N Us Highway 441 Ste 912 , Lady Lake FL 32159-6811. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Juricic, Marilyn L can be contacted via phone (352) 750-1277.Contact Information
Primary practice address
1400 N Us Highway 441 Ste 912
Lady Lake FL 32159-6811
Phone: (352) 750-1277
Fax: (844) 388-6186
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | ME 71383 | Florida |
Profile Details
| NPI number | 1497758338 |
|---|---|
| LBN Legal business name | Juricic, Marilyn L |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 24th, 2005 |
| Last updated | Mar 8th, 2023 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1497758338 | NPPES |
| Florida | Other | 31631 | BLUE CROSS BLUE SHIELD |
| Florida | MEDICAID | 018050900 | BLUE CROSS BLUE SHIELD |
| Florida | Other | P00224863 | BLUE CROSS BLUE SHIELD |
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