Provider Demographics
NPI:1548793508
Name:SPASIC, SMILJANA (MD)
Entity Type:Individual
Prefix:
First Name:SMILJANA
Middle Name:
Last Name:SPASIC
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:HAJDUK VELJKOVA 5
Mailing Address - Street 2:
Mailing Address - City:JAGODINA
Mailing Address - State:SERBIA
Mailing Address - Zip Code:35000
Mailing Address - Country:CS
Mailing Address - Phone:38164-273-9110
Mailing Address - Fax:
Practice Address - Street 1:1611 NW 12 AVENUE
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33136
Practice Address - Country:US
Practice Address - Phone:305-585-8381
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-04-06
Last Update Date:2017-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program