Filip Grdic, DDS
Individual provider Active NPI Dentist · South Pasadena, FL
NPI 1104712439 · NPPES record last updated Jun 13, 2025
Key facts
- NPI
- 1104712439
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Dentist 122300000X
- License
- DN30480 (FL)
- Practice address
- 6882 Gulfport Blvd S
South Pasadena, FL 33707-2108 - Phone
- (727) 384-9655
- NPI assigned
- Jun 13, 2025
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DN30480 | FL | MD | Dentist |
Practice roles (2 of 3)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Coast Florida P.a. | Dentist | Current |
Accepting new patients |
| Coast Florida P.a. | Dentist | Past |
Accepting new patients |
Locations
6882 Gulfport Blvd S
South Pasadena, FL 33707
Phone (727) 384-9655
Networks
- Freedom Health HMO Network
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | DN30480 | FL | Yes |
Addresses
Primary practice location
6882 Gulfport Blvd S
South Pasadena, FL 33707-2108
Mailing address
201 17TH St S Apt 1220
Saint Petersburg, FL 33712-1742
Phone (440) 829-4006
Other providers in South Pasadena, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 13, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.