MEDICARE: BILJANA BASKOT MD

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	207R00000X	Internal Medicine Physician	ME70813	FL

Other Identifiers

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

General Provider Information

NPI Number	:	1871607242
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BILJANA BASKOT MD

Provider Business Mailing Address
First Line	:	1142 E BROWARD BLVD
Second Line	:
City	:	FT LAUDERDALE
State	:	FL
Zip	:	33301-2012
Country	:	US
Telephone Number	:	954-888-8958
Fax Number	:	954-832-8385

Provider Business Practice Location Address
First Line	:	1142 E BROWARD BLVD
Second Line	:
City	:	FT LAUDERDALE
State	:	FL
Zip	:	33301-2012
Country	:	US
Telephone Number	:	954-888-8958
Fax Number	:	954-832-8385

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

Provider Enumeration Date	:	08/19/2006
Last Update Date	:	02/01/2021

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