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NPI Code Detail

MEDICARE: DEJAN SLAVNIC D.O.

MEDICARE:   DEJAN  SLAVNIC  D.O.
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
1207T00000XNeurological Surgery Physician18276FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1629451901
Entity Type Code : Individual
Provider Name (Legal Business Name) : DEJAN SLAVNIC D.O.
Provider Business Mailing Address
First Line : 1121 E TWIGGS ST
Second Line :
City : TAMPA
State : FL
Zip : 33602-3133
Country : US
Telephone Number : 877-776-1121
Fax Number :
Provider Business Practice Location Address
First Line : 1121 E TWIGGS ST
Second Line :
City : TAMPA
State : FL
Zip : 33602-3133
Country : US
Telephone Number : 773-551-9104
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/03/2015
Last Update Date : 01/08/2026

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Directions to “ DEJAN SLAVNIC D.O.” Practice Location

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