Ivana V Obradovic OD PA

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

OPC4521 Issued in FL

Legal business name

IVANA V OBRADOVIC OD PA

Practice address

1900 S University Dr
Miramar, FL 33025-2230

Phone

(954) 431-3060

Fax

(954) 431-4002

NPI assigned

Nov 6, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Ivana Obradovic, OD

Title

Optometrist

Phone

(954) 431-3060

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1383696000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1442534400000",
    "number": "1295164648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1900 S UNIVERSITY DR",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "330252230",
            "telephone_number": "954-431-3060",
            "fax_number": "954-431-4002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 S UNIVERSITY DR",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "330252230",
            "telephone_number": "954-431-3060",
            "fax_number": "954-431-4002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IVANA V OBRADOVIC OD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-06",
        "last_updated": "2015-09-18",
        "status": "A",
        "authorized_official_last_name": "OBRADOVIC",
        "authorized_official_first_name": "IVANA",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "954-431-3060",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "FL",
            "license": "OPC4521",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Leydis Iturralde
• Itza M Rosado DDS PA
• James J. Ivers, MD
• Ivie Health LLC
• Ivy Behavioral Institute
• Jasmine Ivy
• Tanya D. Ivy

• Primary Care Clinic/Center in Miramar, FL
• Providers in Miramar, FL by specialty
• Primary Care Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.