TOMISLAV IVSIC


Address: 1717 S Orange Ave, Suite 100, Orlando, FL 32806-2944
Phone: 4076507715

TOMISLAV IVSIC (NPI# 1780729681) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1780729681
Entity Type Individual
Full Name TOMISLAV IVSIC
Credential M.D.
Practice Address 1717 S Orange Ave
Suite 100
Orlando
FL 32806-2944
Mailing Address Po Box 191
Rockland
DE 19732-0191
Practice Telephone 4076507715
Practice Fax Number 4076507124
Mailing Telephone 3026516212
Mailing Fax Number 3026514945
Enumeration Date 2007-02-20
Last Update Date 2012-09-14
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2080P0202X Pediatrics
Specialization: Pediatric Cardiology
ME 99647 FL Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
FL 279375000 05

Office Location

Street Address 1717 S ORANGE AVE
SUITE 100
City ORLANDO
State FL
Zip Code 32806-2944

Providers in the same location

NPI Name Taxonomy Address Enumeration
1124027867 Wadih S. Macksoud Orthopaedic Surgery 1717 S Orange Ave, #103, Orlando, FL 32806-2944 2005-07-15
1700379385 Children's Eyewear Center, Inc Technician/Technologist 1717 S Orange Ave, Orlando, FL 32806 2018-06-08
1255838462 Mark Vincent Mandese Technician/Technologist 1717 S Orange Ave, Orlando, FL 32806-2944 2018-04-12
1700325693 Daniela Galvez Moreno Behavioral Analyst 1717 S Orange Ave, Orlando, FL 32806 2017-02-13
1194108928 Krisann Draves Nurse Practitioner 1717 S Orange Ave, Suite 100, Orlando, FL 32806 2015-06-29
1437567989 Jessica S Pierce Psychologist 1717 S Orange Ave, Suite 100, Orlando, FL 32806-2944 2014-07-29
1609287481 Maggie Hodges Physical Medicine & Rehabilitation 1717 S Orange Ave, Suite 101, Orlando, FL 32806-2944 2014-05-14
1619394384 Aimee Molineaux Dietitian, Registered 1717 S Orange Ave, Suite #100, Orlando, FL 32806-2944 2014-03-19
1508298407 Sandra Karen Conrad Dietitian, Registered 1717 S Orange Ave, Suite 100, Orlando, FL 32806-2946 2013-08-01
1841635463 Michelle P Tellado General Practice 1717 S Orange Ave, Orlando, FL 32806-2944 2013-05-09
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1710585674 Erika Williams Pharmacist 2715 South Orlando Ave, Orlando, FL 32806 2020-10-13
1013545664 Johanna Yadira Cook Registered Nurse Orlando Health Orlando Regional Medical Center, 52 W. Underwood St, Orlando, FL 32806 2020-03-30
1396372306 Warren Andrew Williams Student in an Organized Health Care Education/Training Program 1222 S. Orange Ave., 5th Fl, Mp# 43, Orlando, FL 32806 2020-03-27
1225665433 Astrid Helen Casin Student in an Organized Health Care Education/Training Program 1222 S. Orange Avenue, 5th Fl., Mp#43, Orland, FL 32806 2020-03-26
1508404211 Hidden Potential Florida LLC Assistant Behavior Analyst 2857 South Bumby Avenue, Orlando, FL 32806 2019-12-12
1720639883 Cynthia Lee Kling Clinical Nurse Specialist Arnold Palmer Hospital, 92 W. Miller St., Orlando, FL 32806 2019-09-20
1033769930 Darleen Ann Williams Clinical Nurse Specialist 52 W. Underwood, Orlando, FL 32806 2019-09-13
1508412644 Trischaday Kimberley Demetrius Nurse Practitioner Orlando Epilepsy Center, 226 W Michigan Street, Orlando, FL 32806 2019-08-14
1962964809 Ajc Software Inc Prosthetic/Orthotic Supplier 1405 South Orange Avenue Suite 308, Orlando, FL 32806 2019-04-01
1598232852 Sodo Smiles Dentistry, Pa Dentist 3123 S. Orange Ave., Suite 107, Orlando, FL 32806 2018-10-25
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Taxonomy Information

Taxonomy Code 2080P0202X
Grouping Allopathic & Osteopathic Physicians
Classification Pediatrics
Specialization Pediatric Cardiology

Taxonomy Definition

A pediatric cardiologist provides comprehensive care to patients with cardiovascular problems. This specialist is skilled in selecting, performing and evaluating the structural and functional assessment of the heart and blood vessels, and the clinical evaluation of cardiovascular disease.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) was provided by the American Osteopathic Board of Pediatrics. The Certification is no longer offered.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1407023310 Salvatore Joseph Buonaiuto Pediatrics 601 E. Rollins St., Florida Hospital for Children, Orlando, FL 32803 2008-05-09
1346276201 Jorge Garcia Pediatrics 2501 N Orange Avenue, Suite 310, Orlando, FL 32804 2006-06-23
1376509166 Rodrigo A Nehgme Pediatrics 50 W.stutervant Street, Orlando, FL 32806-4000 2006-04-21
1053380493 Thomas J. Allen Pediatrics 1717 S. Orange Ave. Suite 100, Nemours Childrens Clinic Orlando, Orlando, FL 32806-2946 2006-03-17
1558335885 Juan Manuel Bolivar Pediatrics 50 W Stutervant Street, Orlando, FL 32806-4000 2006-02-14
1417935362 Mch Pediatric Cardiology,llc Pediatrics 92 W.miller Street, Orlando, FL 32806-2022 2006-01-02
1245218197 Mch Pediatric Cardiology,llc Pediatrics 50 W. Stutervant Street, Orlando, FL 32806 2006-01-02
1326395096 Eva H. Nunlist Pediatrics 1717 S Orange Ave Ste 100, Nemours Childrens Clinic, Orlando, Orlando, FL 32806-2946 2012-08-13
1518212612 Gerson Antonio Valencia Villeda Pediatrics 1222 S Orange Ave, Orlando, FL 32806-1215 2012-07-16
1871818898 Michael Joseph Farias Pediatrics 1222 S Orange Ave, Orlando, FL 32806-1215 2010-04-01
Find all providers in ORLANDO

Competitor

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City ORLANDO
Zip Code 32806

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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