Healthcare Provider Details

I. General information

NPI: 1821068057
Provider Name (Legal Business Name): FLORINELLA OPRESCU MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/23/2006
Last Update Date: 03/02/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11001 N BLACK CANYON HWY
PHOENIX AZ
85029-4757
US

IV. Provider business mailing address

4001 E BASELINE RD SUITE 107
GILBERT AZ
85234-2726
US

V. Phone/Fax

Practice location:
  • Phone: 602-371-2515
  • Fax: 602-371-2002
Mailing address:
  • Phone: 480-632-4060
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RG0100X
TaxonomyGastroenterology Physician
License Number32780
License Number StateAZ
# 2
Primary TaxonomyN
Taxonomy Code207RG0100X
TaxonomyGastroenterology Physician
License Number202390
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: