Provider Demographics
NPI:1588726020
Name:STOJANOVIC, BRANISLAV (MD)
Entity type:Individual
Prefix:
First Name:BRANISLAV
Middle Name:
Last Name:STOJANOVIC
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 1:2962 SW 26 TERRACE
Mailing Address - Street 2:SUITE 203
Mailing Address - City:DANIA BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33312
Mailing Address - Country:US
Mailing Address - Phone:954-525-2003
Mailing Address - Fax:954-525-0212
Practice Address - Street 1:2962 SW 26 TERRACE
Practice Address - Street 2:SUITE 203
Practice Address - City:DANIA BEACH
Practice Address - State:FL
Practice Address - Zip Code:33312
Practice Address - Country:US
Practice Address - Phone:954-525-2003
Practice Address - Fax:954-525-0212
Is Sole Proprietor?:No
Enumeration Date:2006-12-14
Last Update Date:2016-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME 620662084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL375617300Medicaid
FL375617300Medicaid
FL25618VMedicare ID - Type Unspecified
FL25618WMedicare ID - Type Unspecified