Basic Information
| Provider Information | |||||||||
| NPI: | 1184884090 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | BILUSIC | ||||||||
| FirstName: | MARIJO | ||||||||
| MiddleName: | |||||||||
| NamePrefix: | DR. | ||||||||
| NameSuffix: | |||||||||
| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1120 NW 14TH STREET | ||||||||
| Address2: | CRB SUITE 610B | ||||||||
| City: | MIAMI | ||||||||
| State: | FL | ||||||||
| PostalCode: | 331361007 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3052431543 | ||||||||
| FaxNumber: | 3052430424 | ||||||||
| Practice Location | |||||||||
| Address1: | 1120 NW 14TH ST STE 610B | ||||||||
| Address2: | |||||||||
| City: | MIAMI | ||||||||
| State: | FL | ||||||||
| PostalCode: | 331362107 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3052439779 | ||||||||
| FaxNumber: | |||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 06/13/2008 | ||||||||
| LastUpdateDate: | 09/15/2022 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 09/13/2022 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207R00000X | 25MA08421000 | NJ | N | Allopathic & Osteopathic Physicians | Internal Medicine | 207RH0000X | MD447230 | PA | N | Allopathic & Osteopathic Physicians | Internal Medicine | Hematology | 207RH0000X | ME149070 | FL | N | Allopathic & Osteopathic Physicians | Internal Medicine | Hematology | 207RX0202X | MD447230 | PA | N | Allopathic & Osteopathic Physicians | Internal Medicine | Medical Oncology | 207RX0202X | ME149070 | FL | Y | Allopathic & Osteopathic Physicians | Internal Medicine | Medical Oncology |
No ID Information.