| Bogdanovski, Pllc | |
|
909 Sterthaus Dr Ormond Beach FL 32174-5133 | |
| (386) 673-1717 | |
| (386) 672-7819 |
| Full Name | Bogdanovski, Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 909 Sterthaus Dr, Ormond Beach, Florida |
| Authorized Official Name and Position | Suzana Bogdanovska (MANAGER) |
| Authorized Official Contact | 3866731717 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Bogdanovski, Pllc 909 Sterthaus Dr Ormond Beach FL 32174-5133 Ph: (386) 673-1717 | Bogdanovski, Pllc 909 Sterthaus Dr Ormond Beach FL 32174-5133 Ph: (386) 673-1717 |
| NPI Number | 1235550419 |
|---|---|
| Provider Enumeration Date | 12/14/2013 |
| Last Update Date | 12/14/2013 |
| Medicare PECOS PAC ID | 4082843404 |
|---|---|
| Medicare Enrollment ID | O20140206000458 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235550419 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | OS11535 (Florida) | Primary |
| Provider Name | Dragi Bogdanovski |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1144462102 PECOS PAC ID: 9830343706 Enrollment ID: I20130130000044 |
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