Individual provider Active NPI

Amira Djuric, D.D.S.

  • General Practice Dentistry
  • Seminole, FL
National Provider Identifier
1033291471
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DN16318 Issued in FL
Practice address
8000 Seminole Blvd Ste 7
Seminole, FL 33772-4800
Phone
(727) 394-0557
Fax
(727) 319-9527
NPI assigned
Oct 19, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DN16318 FL Primary

Addresses

Primary practice location

8000 Seminole Blvd Ste 7
Seminole, FL 33772-4800

Mailing address

406 Barcelona Dr
Saint Petersburg, FL 33716-1206
Phone (727) 573-2865

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Sep 26, 2022 through Sep 26, 2026

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
DN16318FLMDGeneral Practice Dentistry

Networks

  • Freedom Health HMO Network

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1161216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1033291471",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "406 BARCELONA DR",
            "city": "SAINT PETERSBURG",
            "state": "FL",
            "postal_code": "337161206",
            "telephone_number": "727-573-2865"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8000 SEMINOLE BLVD STE 7",
            "city": "SEMINOLE",
            "state": "FL",
            "postal_code": "337724800",
            "telephone_number": "727-394-0557",
            "fax_number": "727-319-9527"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DJURIC",
        "first_name": "AMIRA",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN16318",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seminole, FL

Sources for this page

Verify at the official NPI Registry.