MEDICARE: DR. ALINA STANICA MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208000000X	Pediatrics Physician	ME115693	FL

General Provider Information

NPI Number	:	1790005890
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ALINA STANICA MD

Provider Business Mailing Address
First Line	:	1324 LAKELAND HILLS BLVD
Second Line	:	ATTN: MANAGED CARE
City	:	LAKELAND
State	:	FL
Zip	:	33805-4543
Country	:	US
Telephone Number	:	863-687-1100
Fax Number	:

Provider Business Practice Location Address
First Line	:	430 E CENTRAL AVE
Second Line	:
City	:	WINTER HAVEN
State	:	FL
Zip	:	33880-3050
Country	:	US
Telephone Number	:	863-284-5000
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/11/2010
Last Update Date	:	03/02/2026

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