Provider Demographics
NPI:1851432843
Name:BOJKOVIC, MICHAEL NEBOISA (MD)
Entity Type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:NEBOISA
Last Name:BOJKOVIC
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:10801 STAKEY RD. #104-404
Mailing Address - Street 2:
Mailing Address - City:SEMINOLE
Mailing Address - State:FL
Mailing Address - Zip Code:33777-1144
Mailing Address - Country:US
Mailing Address - Phone:727-224-8451
Mailing Address - Fax:727-541-4913
Practice Address - Street 1:10801 STARKEY RD # 104-101
Practice Address - Street 2:
Practice Address - City:SEMINOLE
Practice Address - State:FL
Practice Address - Zip Code:33777-1159
Practice Address - Country:US
Practice Address - Phone:727-224-8451
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-02-11
Last Update Date:2022-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME 834222084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLH71768Medicare UPIN