ZIVKO Z. GAJIC M.D., P.A.
Marriage and Family Therapists at Flagler Ave, Key West, FL

License number
Florida ME 39762
Category
Osteopathic Medicine
Type
Family Medicine
Owner
Name: DR. ZIVKO Z. GAJIC M.D.
Title: DIRECTOR
Phone: (305) 735-4177
Address
Address
2505 Flagler Ave, Key West, FL 33040
National Provider ID: 1700053923
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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ZIVKO Z. GAJIC M.D., PA

Fort Pierce, FL  -  Key West, FL

Status:
Inactive
Industry:
Medical Doctor's Office
Inactive reason:
REINSTATEMENT
Registration:
Jul 5, 2000
Inactive since:
Jun 19, 2013
Addresses:
5805 NW Fall Flower Ct, Port Saint Lucie, FL 34986 (Physical)
2 Palmetto Dr, Key West, FL 33040
State ID:
P00000064510
Business type:
Florida Profit Corporation
Presidents:
Md Gajic, 5805 NW Fall Flower Ct, Port Saint Lucie, FL 34986 (Physical),Ron Price (Secretary), 5805 NW Fall Flower Ct, Port Saint Lucie, FL 34986 (Physical),Zivko Z. Gajic (President)
Agent:
Zivko Gajic,5805 NW Fall Flower Ct, Port Saint Lucie, FL 34986 (Physical)
EIN:
65-1025081

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