Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223E0200X | Endodontist | DRP1569 | FL |
N | 1223G0001X | General Practice | 019030150 | IL |
N | 213EG0000X | General Practice | 019030150 | IL |
NPI | 1013322775 |
---|---|
Provider Name | Dr. Sara Markovic |
First Address | Gainesville, FL 32610-0436 |
Second Address | Gainesville, FL 32610-0436 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/06/2014 |
Last Update Date | 09/01/2017 |