Provider Demographics
NPI:1255093951
Name:TRAJKOVSKA, JULIJANA (CSA)
Entity Type:Individual
Prefix:
First Name:JULIJANA
Middle Name:
Last Name:TRAJKOVSKA
Suffix:
Gender:F
Credentials:CSA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8102 DREAM CATCHER CIR APT 3302
Mailing Address - Street 2:
Mailing Address - City:NAPLES
Mailing Address - State:FL
Mailing Address - Zip Code:34119-9802
Mailing Address - Country:US
Mailing Address - Phone:727-631-1684
Mailing Address - Fax:
Practice Address - Street 1:8102 DREAM CATCHER CIR APT 3302
Practice Address - Street 2:
Practice Address - City:NAPLES
Practice Address - State:FL
Practice Address - Zip Code:34119-9802
Practice Address - Country:US
Practice Address - Phone:727-631-1684
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-10-10
Last Update Date:2021-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL4953208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208600000XAllopathic & Osteopathic PhysiciansSurgeryGroup - Single Specialty