Prodanovich, Srdjan

Prodanovich, Srdjan is an individual health care provider with primary practice located at 90 Cypress Way E Suite 50, Naples FL 34110-9275. He recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as his primary health care specialty. Prodanovich, Srdjan can be contacted via phone (239) 598-3200.

Contact Information

Primary practice address
90 Cypress Way E Suite 50 Naples FL 34110-9275
Fax: (239) 598-0233
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X ME95851 Florida

Profile Details

NPI number 1871540377
LBN Legal business name Prodanovich, Srdjan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 28th, 2006
Last updated Jan 23rd, 2014 - about 11 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 1871540377 NPPES
Florida Other P00423914 MEDICARE RAILROAD
Florida Other 7613852 MEDICARE RAILROAD
Florida MEDICAID 276398200 MEDICARE RAILROAD
Florida Other 53224 MEDICARE RAILROAD

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