Healthcare Provider Details

I. General information

NPI: 1942628037
Provider Name (Legal Business Name): AMANDA DIJANIC ZEIDMAN M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: AMANDA TERESA DIJANIC MD

II. Dates (important events)

Enumeration Date: 04/04/2014
Last Update Date: 04/23/2026
Certification Date: 04/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

800 MEADOWS RD
BOCA RATON FL
33486-2304
US

IV. Provider business mailing address

8370 W FLAGLER ST STE 226
MIAMI FL
33144-2040
US

V. Phone/Fax

Practice location:
  • Phone: 305-928-7249
  • Fax: 305-360-3632
Mailing address:
  • Phone: 305-928-7249
  • Fax: 305-630-3632

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RN0300X
TaxonomyNephrology Physician
License Number30385201
License Number StateNY
# 2
Primary TaxonomyN
Taxonomy Code207RC0200X
TaxonomyCritical Care Medicine (Internal Medicine) Physician
License Number30385201
License Number StateNY
# 3
Primary TaxonomyN
Taxonomy Code2086S0102X
TaxonomySurgical Critical Care Physician
License Number30385201
License Number StateNY
# 4
Primary TaxonomyY
Taxonomy Code207RC0200X
TaxonomyCritical Care Medicine (Internal Medicine) Physician
License NumberME172120
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: