| Doctor Name: | IVA JURIC |
| NPI Number: | 1003239120 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | |
| License Number: | 9205524 |
| Business Practice Address: | 21097 Ne 27th Ct Ste 205 Aventura, FL - 331801237 |
| Business Phone Number: | 3056829877 |
| Business Fax Number: | |
| Mailing Address: | 17125 N Bay Rd, Apt 3307 SUNNY ISLES BEACH |
| State: | FL |
| Postal Code: | 331603447 |
| Phone Number: | 7865470396 |
| Fax Number: | |
| NPI Enumeration Date: | 01/24/2014 |
| NPI Last Update Date: | 01/24/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LP0200X |
| License Number: | 9205524 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | FL |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Pediatrics |
| Taxonomy Definition: | |