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NPI Code Detail

MEDICARE: MS. ZLATA HODZIC NP-BC

MEDICARE: MS. ZLATA HODZIC NP-BC
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
1363LF0000XFamily Nurse Practitioner4704288639MI

General Provider Information

NPI Number : 1821631847
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. ZLATA HODZIC NP-BC
Provider Business Mailing Address
First Line : 1961 S TELEGRAPH RD
Second Line :
City : BLOOMFIELD HILLS
State : MI
Zip : 48302-0246
Country : US
Telephone Number : 248-319-6190
Fax Number : 248-607-6362
Provider Business Practice Location Address
First Line : 1961 S TELEGRAPH RD
Second Line :
City : BLOOMFIELD HILLS
State : MI
Zip : 48302-0246
Country : US
Telephone Number : 248-319-6190
Fax Number : 248-607-6362
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/22/2019
Last Update Date : 10/09/2023

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