MEDICARE: ZORAN POTPARIC, M.D., P.A.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	174400000X	Specialist

General Provider Information

NPI Number	:	1508046913
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ZORAN POTPARIC, M.D., P.A.

Provider Business Mailing Address
First Line	:	1116 EAST BROWARD BLVD
Second Line	:
City	:	FT LAUDERDALE
State	:	FL
Zip	:	33301
Country	:	US
Telephone Number	:	954-567-1300
Fax Number	:

Provider Business Practice Location Address
First Line	:	1116 EAST BROWARD BLVD
Second Line	:
City	:	FT LAUDERDALE
State	:	FL
Zip	:	33301
Country	:	US
Telephone Number	:	954-567-1300
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	DR. ZORAN POTPARIC
Credential	:	M.D.
Telephone Number	:	954-567-1300

Provider Enumeration Date	:	11/14/2007
Last Update Date	:	11/14/2007

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