ANDRIJA VIDIC (NPI# 1003120692) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003120692 |
| Entity Type | Individual |
| Full Name | ANDRIJA VIDIC |
| Credential | D.O |
| Practice Address |
2415 N Orange Ave Ste 700 Orlando FL 32804-5521 |
| Practice Telephone | (407) 303-2474 |
| Practice Fax Number | 4073030680 |
| Mailing Telephone | (407) 303-2474 |
| Mailing Fax Number | 4073030680 |
| Enumeration Date | 2010-08-06 |
| Last Update Date | 2018-03-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
9759853-1204 | UT | Allopathic & Osteopathic Physicians |
| Y | 207RA0001X |
Internal Medicine Specialization: Advanced Heart Failure and Transplant Cardiology |
OS14450 | FL | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 50 N Medical Dr, Salt Lake City, UT 841320001 | 8015855122 |
| Street Address |
2415 N ORANGE AVE STE 700 |
| City | ORLANDO |
| State | FL |
| Zip Code | 32804-5521 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952376907 | Bradford Gregory Ledzian | Physician Assistant | 2415 N Orange Ave Ste 700, Orlando, FL 32804-5521 | 2006-02-22 |
| 1891353256 | Caroline Coffey | Physician Assistant | 2415 N Orange Ave Ste 700, Orlando, FL 32804-5521 | 2019-05-31 |
| 1821585498 | Vanessa Lynn Cichon | Nurse Practitioner | 2415 N Orange Ave Ste 700, Orlando, FL 32804-5521 | 2018-04-18 |
| 1265935654 | Angelea D Collins | Nurse Practitioner | 2415 N Orange Ave Ste 700, Orlando, FL 32804-5521 | 2018-03-13 |
| 1710499314 | Fakhreddin Rostami Fard | Nurse Practitioner | 2415 N Orange Ave Ste 700, Orlando, FL 32804 | 2017-11-03 |
| 1447769617 | Brian Cardona | Physician Assistant | 2415 N Orange Ave Ste 700, Orlando, FL 32804-5521 | 2017-09-20 |
| 1013386069 | Dennis Paray | Nurse Practitioner | 2415 N Orange Ave Ste 700, Orlando, FL 32804-5521 | 2015-09-21 |
| 1295133619 | Jennifer Charles | Nurse Practitioner | 2415 N Orange Ave Ste 700, Orlando, FL 32804-5521 | 2014-12-17 |
| 1467851923 | Maureen Marie Popke | Physician Assistant | 2415 N Orange Ave Ste 700, Orlando, FL 32804-5521 | 2014-08-20 |
| 1912314030 | Shady Guirguis | Internal Medicine | 2415 N Orange Ave Ste 700, Orlando, FL 32804 | 2014-07-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881252716 | Alyssa Bass | Counselor | 3130 Edgewater Dr, Orlando, FL 32804 | 2019-06-05 |
| 1841856366 | Debora Cheryl Ramirez | Technician/Technologist | 1231 North Orange Ave, Orlando, FL 32804 | 2019-05-10 |
| 1679074009 | Jessica Dobbs | Counselor | 3801 Grant Blvd, Orlando, FL 32804 | 2018-02-21 |
| 1881109031 | Pedro Mendez Jr. | Counselor | 1800 W. Colonial Drive, Orlando, FL 32804 | 2017-12-11 |
| 1902259310 | Michael Lo | Nurse Practitioner | 2400 N Orange Ave Ste 302, Orlando, FL 32804 | 2016-07-20 |
| 1083093595 | Michael Gregg | Student in an Organized Health Care Education/Training Program | 2415 North Orange Avenue, Suite 400, Orlando, FL 32804 | 2015-05-29 |
| 1922485473 | Lindsay Rae Piet | Physician Assistant | 1910 N. Orange Ave., Orlando, FL 32804 | 2015-05-05 |
| 1093106189 | College Park Community Acupuncture & Herbal Medicine | Acupuncturist | 710 W. Princeton Street., Suite A, Orlando, FL 32804 | 2015-02-10 |
| 1164822359 | Orlando Sleep Solutions, LLC | Durable Medical Equipment & Medical Supplies | 2921 N. Orange Ave, Orlando, FL 32804 | 2014-08-26 |
| 1780926741 | Joseph Arturo Reza | Student in an Organized Health Care Education/Training Program | 2415 N Orange Ave #400, Orlando, FL 32804 | 2013-03-17 |
| Find all providers in zip 32804 | ||||
| Taxonomy Code | 207RA0001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Advanced Heart Failure and Transplant Cardiology |
| Specialists in Advanced Heart Failure and Transplant Cardiology would participate in the inpatient and outpatient management of patients with advanced heart failure across the spectrum from consideration for high-risk cardiac surgery, cardiac transplantation, or mechanical circulatory support, to pre-and post-operative evaluation and management of patients with cardiac transplants and mechanical support devices, and end-of-life care for patients with end-stage heart failure. |
| Notes: Source: American Board of Internal Medicine, www.abim.org [7/1/2015: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255367306 | Daniel L Dries | Internal Medicine | 1801 Nw 9th Ave Fl 5, Miami, FL 33136-1125 | 2006-06-23 |
| 1831799055 | University of Miami | Internal Medicine | 1321 Nw 14th St Ste 510, Miami, FL 33125-1659 | 2020-10-27 |
| 1861028409 | Chf Care Pllc | Internal Medicine | 4211 Van Dyke Rd, Lutz, FL 33558-8005 | 2020-03-16 |
| 1861044935 | Tiffany Graham-moore | Internal Medicine | 180 Jfk Dr Ste 340, Atlantis, FL 33462-6641 | 2019-07-09 |
| 1962991562 | South Broward Hospital District | Internal Medicine | 3501 Johnson St Fl 1, Hollywood, FL 33021 | 2018-05-09 |
| 1598007346 | Saleh El Dassouki | Internal Medicine | 1611 Nw 12th Ave, Room 1004, Miami, FL 33136-1005 | 2013-03-20 |
| 1720354921 | Sajid Muneer Mirza | Internal Medicine | 180 Jfk Dr Ste 320, Atlantis, FL 33462 | 2012-04-02 |
| 1366607822 | Parag Patel | Internal Medicine | 4500 San Pablo Rd S, Jacksonville, FL 32224-1865 | 2008-07-24 |
| 1467639799 | Juan Leoni Moreno | Internal Medicine | 4500 San Pablo Rd S, Jacksonville, FL 32224-1865 | 2008-01-29 |
| 1386603934 | David L. Smull | Internal Medicine | 1223 Gateway Dr Ste 2f, Melbourne, FL 32901 | 2006-03-22 |
| Find all providers with the same taxonomy | ||||
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| 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.