MEDICARE: DR. FLORINA MIURA SCHIESS KADRIBASIC M.D.

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	207Q00000X	Family Medicine Physician	ME105563	FL
2	207Q00000X	Family Medicine Physician	ME 105563	FL

General Provider Information

NPI Number	:	1922215011
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. FLORINA MIURA SCHIESS KADRIBASIC M.D.

Provider Business Mailing Address
First Line	:	1397 MEDICAL PARK BLVD STE 220
Second Line	:
City	:	WELLINGTON
State	:	FL
Zip	:	33414-3187
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1397 MEDICAL PARK BLVD STE 220
Second Line	:
City	:	WELLINGTON
State	:	FL
Zip	:	33414-3187
Country	:	US
Telephone Number	:	561-784-0202
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/17/2007
Last Update Date	:	12/15/2021

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