Dr. Anna Radisic MD
Internal Medicine Physician in Tampa, FL(View on Map)
Full Name
Dr. Anna Radisic MD
NPI Number
1013545862
NPI Type
Individual Provider
Gender
Female
Enumeration Date
03/28/2020
Specialties
(Taxonomies)Licenses
State
Florida
License Number
ME160304
Contact
Information
Purpose
Mailing
Location
Address
17 DAVIS BLVD STE 308
17 DAVIS BLVD STE 308
City
Tampa
Tampa
State
FL
FL
Postal Code
33606-3438
33606-3438
Country
US
US
Telephone Number
N/A
(813) 974-2201
Identifiers
Identifier
118138600
S4OQ7
Identifier State
FL
FL
Identifier Issuer
Unknown
BLUE CROSS BLUE SHIELD
Health Information Exchange
Endpoint Type
DIRECT
Endpoint
aradisic124126@direct.tgh.org
Endpoint Description
Unknown
Use
Unknown
Content Type
Unknown
Affiliation
N
Endpoint Location
2 Tampa General CirTampa, FL336063571US
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 09/22/2023