Provider Demographics
NPI:1215570619
Name:PLAVLJANIC, IGOR (RRT, RPFT, ACCS)
Entity Type:Individual
Prefix:MR
First Name:IGOR
Middle Name:
Last Name:PLAVLJANIC
Suffix:
Gender:M
Credentials:RRT, RPFT, ACCS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12920 SUMMERFIELD CROSSING BLVD
Mailing Address - Street 2:
Mailing Address - City:RIVERVIEW
Mailing Address - State:FL
Mailing Address - Zip Code:33579-7210
Mailing Address - Country:US
Mailing Address - Phone:813-998-8828
Mailing Address - Fax:813-979-3606
Practice Address - Street 1:12920 SUMMERFIELD CROSSING BLVD
Practice Address - Street 2:
Practice Address - City:RIVERVIEW
Practice Address - State:FL
Practice Address - Zip Code:33579-7210
Practice Address - Country:US
Practice Address - Phone:813-998-8828
Practice Address - Fax:813-979-3606
Is Sole Proprietor?:No
Enumeration Date:2019-10-18
Last Update Date:2019-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLRT8152227900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes227900000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRespiratory Therapist, Registered