Ivsic, Tomislav

Ivsic, Tomislav is an individual health care provider with primary practice located at 1717 S Orange Ave Suite 100, Orlando FL 32806-2944. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Cardiology, which is considered as his primary health care specialty. Ivsic, Tomislav can be contacted via phone (407) 650-7715.

Contact Information

Primary practice address
1717 S Orange Ave Suite 100 Orlando FL 32806-2944
Phone: (407) 650-7715
Fax: (407) 650-7124
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Cardiology 2080P0202X ME 99647 Florida

Profile Details

NPI number 1780729681
LBN Legal business name Ivsic, Tomislav
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 20th, 2007
Last updated Sep 14th, 2012 - about 12 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 1780729681 NPPES
Florida MEDICAID 279375000

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