Provider Demographics
NPI:1841059318
Name:CAJIC, VEDRANA (MD EDUCATIONAL LEADE)
Entity type:Individual
Prefix:
First Name:VEDRANA
Middle Name:
Last Name:CAJIC
Suffix:
Gender:F
Credentials:MD EDUCATIONAL LEADE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1349 WILLIAMS DR
Mailing Address - Street 2:
Mailing Address - City:CLEARWATER
Mailing Address - State:FL
Mailing Address - Zip Code:33764-2823
Mailing Address - Country:US
Mailing Address - Phone:727-512-5141
Mailing Address - Fax:
Practice Address - Street 1:1349 WILLIAMS DR
Practice Address - Street 2:
Practice Address - City:CLEARWATER
Practice Address - State:FL
Practice Address - Zip Code:33764-2823
Practice Address - Country:US
Practice Address - Phone:727-512-5141
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-03-18
Last Update Date:2024-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes222Q00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersDevelopmental Therapist