Provider Demographics
NPI:1972345478
Name:DUKANOVIC, EMINA (HAS)
Entity type:Individual
Prefix:
First Name:EMINA
Middle Name:
Last Name:DUKANOVIC
Suffix:
Gender:F
Credentials:HAS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2500 LEE RD APT 209
Mailing Address - Street 2:
Mailing Address - City:WINTER PARK
Mailing Address - State:FL
Mailing Address - Zip Code:32789-1703
Mailing Address - Country:US
Mailing Address - Phone:407-883-9059
Mailing Address - Fax:
Practice Address - Street 1:2500 LEE RD APT 209
Practice Address - Street 2:
Practice Address - City:WINTER PARK
Practice Address - State:FL
Practice Address - Zip Code:32789-1703
Practice Address - Country:US
Practice Address - Phone:407-883-9059
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-06-07
Last Update Date:2024-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAS5686237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument SpecialistGroup - Single Specialty