Provider Demographics
NPI:1578170155
Name:MIHAJLOVIC, ZORAN (OD)
Entity Type:Individual
Prefix:DR
First Name:ZORAN
Middle Name:
Last Name:MIHAJLOVIC
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:183 SE 10TH CT
Mailing Address - Street 2:
Mailing Address - City:DEERFIELD BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33441-6654
Mailing Address - Country:US
Mailing Address - Phone:954-245-1780
Mailing Address - Fax:
Practice Address - Street 1:183 SE 10TH CT
Practice Address - Street 2:
Practice Address - City:DEERFIELD BEACH
Practice Address - State:FL
Practice Address - Zip Code:33441-6654
Practice Address - Country:US
Practice Address - Phone:954-245-1780
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-09-28
Last Update Date:2020-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOPC5839152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist