Obradovic, Diana C

Obradovic, Diana C is an individual health care provider with primary practice located at 4343 W Newberry Rd Suite 10, Gainesville FL 32607-2825. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Obradovic, Diana C can be contacted via phone (352) 373-2340.

Contact Information

Primary practice address
4343 W Newberry Rd Suite 10 Gainesville FL 32607-2825
Phone: (352) 373-2340
Fax: (352) 373-3140
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA9102499 Florida

Profile Details

NPI number 1841279148
LBN Legal business name Obradovic, Diana C
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 13th, 2006
Last updated Aug 2nd, 2024 - about 2 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1841279148 NPPES
Florida MEDICAID 122670500

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