Provider Demographics
NPI:1922305440
Name:MARKOVIC, SLAVISA (MD)
Entity Type:Individual
Prefix:DR
First Name:SLAVISA
Middle Name:
Last Name:MARKOVIC
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8080 PASADENA BLVD
Mailing Address - Street 2:
Mailing Address - City:PEMBROKE PINES
Mailing Address - State:FL
Mailing Address - Zip Code:33024-3537
Mailing Address - Country:US
Mailing Address - Phone:954-951-0990
Mailing Address - Fax:
Practice Address - Street 1:8080 PASADENA BLVD
Practice Address - Street 2:
Practice Address - City:PEMBROKE PINES
Practice Address - State:FL
Practice Address - Zip Code:33024-3537
Practice Address - Country:US
Practice Address - Phone:954-951-0990
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-02-18
Last Update Date:2023-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV14073207R00000X
NY262773207R00000X
FLME110561207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine