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NPI Code Detail

MEDICARE: DR. SLOBADON CIRIC D.M.D

MEDICARE:  DR. SLOBADON  CIRIC  D.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
11223G0001XGeneral Practice Dentistry126272FL

General Provider Information

NPI Number : 1720138951
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. SLOBADON CIRIC D.M.D
Provider Business Mailing Address
First Line : 3504 CARDINAL POINT DR
Second Line :
City : JACKSONVILLE
State : FL
Zip : 32257-5500
Country : US
Telephone Number : 904-730-2266
Fax Number : 904-730-9050
Provider Business Practice Location Address
First Line : 3504 CARDINAL POINT DR
Second Line :
City : JACKSONVILLE
State : FL
Zip : 32257-5500
Country : US
Telephone Number : 904-730-2266
Fax Number : 904-730-9050
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/11/2007
Last Update Date : 07/08/2007

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Directions to “ DR. SLOBADON CIRIC D.M.D” Practice Location

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