MEDICARE: MR. ZORAN POTPARIC 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
1	174400000X	Specialist	ME75399	FL
2	2086S0122X	Plastic and Reconstructive Surgery Physician	ME75399	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	:	1982718698
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. ZORAN POTPARIC M.D.

Provider Business Mailing Address
First Line	:	1116 E BROWARD BLVD
Second Line	:
City	:	FT LAUDERDALE
State	:	FL
Zip	:	33306
Country	:	US
Telephone Number	:	954-779-2777
Fax Number	:	954-779-2177

Provider Business Practice Location Address
First Line	:	1116 E BROWARD BLVD
Second Line	:
City	:	FT. LAUDERDALE
State	:	FL
Zip	:	33301
Country	:	US
Telephone Number	:	954-779-2777
Fax Number	:	954-779-2177

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

Provider Enumeration Date	:	08/18/2006
Last Update Date	:	12/09/2014

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Directions to “ MR. ZORAN POTPARIC M.D.” Practice Location

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