Provider Demographics
NPI:1962891838
Name:GLOBAL TRAUMA SYSTEMS, INC
Entity type:Organization
Organization Name:GLOBAL TRAUMA SYSTEMS, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:C.E.O.
Authorized Official - Prefix:DR
Authorized Official - First Name:SLOBODAN
Authorized Official - Middle Name:
Authorized Official - Last Name:JAZAREVIC
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:772-233-6166
Mailing Address - Street 1:126 SE MIRA LAVELLA
Mailing Address - Street 2:
Mailing Address - City:PORT SAINT LUCIE
Mailing Address - State:FL
Mailing Address - Zip Code:34984-6615
Mailing Address - Country:US
Mailing Address - Phone:772-233-6166
Mailing Address - Fax:772-345-4442
Practice Address - Street 1:126 SE MIRA LAVELLA
Practice Address - Street 2:
Practice Address - City:PORT SAINT LUCIE
Practice Address - State:FL
Practice Address - Zip Code:34984-6615
Practice Address - Country:US
Practice Address - Phone:772-233-6166
Practice Address - Fax:772-345-4442
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-01-15
Last Update Date:2016-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME65570208600000X, 2086S0102X, 2086S0127X, 2086S0129X, 2086X0206X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2086S0127XAllopathic & Osteopathic PhysiciansSurgeryTrauma SurgeryGroup - Multi-Specialty
No208600000XAllopathic & Osteopathic PhysiciansSurgeryGroup - Multi-Specialty
No2086S0102XAllopathic & Osteopathic PhysiciansSurgerySurgical Critical CareGroup - Multi-Specialty
No2086S0129XAllopathic & Osteopathic PhysiciansSurgeryVascular SurgeryGroup - Multi-Specialty
No2086X0206XAllopathic & Osteopathic PhysiciansSurgerySurgical OncologyGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL277835100Medicaid
FLF96627Medicare UPIN
FL277835100Medicaid