Miroslav Mijatovic, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA9115644 Issued in FL

Practice address

5767 49TH St N Ste a
St Petersburg, FL 33709-2106

Phone

(727) 350-0450

NPI assigned

Feb 10, 2022

Last updated

Feb 10, 2022By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Florida Pain Relief Group PLLCGroup PAC ID 4688960271, 80 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Florida Pain Relief Group PLLC

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Tampa, FL
  • NPI 1376994608

  Physician Assistant

  Medicare reassignment Care Compare group NPD
• Charles K Friedman DO PA

  dba Pain Relief Centers

  • Interventional Pain Medicine Physician
  • St Petersburg, FL
  • NPI 1982622775
  Medicare reassignment

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

{
    "created_epoch": "1644451200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644451200000",
    "number": "1669126405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10475 GANDY BLVD N UNIT 2213",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337022495",
            "telephone_number": "727-557-6563"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5767 49TH ST N STE A",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337092106",
            "telephone_number": "727-350-0450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIJATOVIC",
        "first_name": "MIROSLAV",
        "credential": "PA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-02-10",
        "last_updated": "2022-02-10",
        "certification_date": "2022-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9115644",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carol F Miele, LMHC
• Wendy Jean Migliore Sanchez, ARNP
• Miguel a. Espinal, MD. PA
• Roland Joseph Mihalik, RPH
• Kara Lee Mihelich, OTR/L
• Mikav, Inc
• Marek T Mikulski, MD
• Benjamin Milano, LCSW
• Gina Milanovitch, APRN
• Danielle Milazzo, ARNP

• Physician Assistant in St Petersburg, FL
• Providers in St Petersburg, FL by specialty
• Physician Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.