Provider Demographics
NPI:1447830351
Name:KARAGIC, AMIRA
Entity type:Individual
Prefix:
First Name:AMIRA
Middle Name:
Last Name:KARAGIC
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3627 UNIVERSITY BLVD S STE 415
Mailing Address - Street 2:
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32216-4299
Mailing Address - Country:US
Mailing Address - Phone:904-296-2522
Mailing Address - Fax:
Practice Address - Street 1:3627 UNIVERSITY BLVD S STE 415
Practice Address - Street 2:
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32216-4299
Practice Address - Country:US
Practice Address - Phone:904-296-2522
Practice Address - Fax:904-296-8173
Is Sole Proprietor?:Yes
Enumeration Date:2021-04-13
Last Update Date:2024-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPA9116082363A00000X
FL363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant