Healthcare Provider Details

I. General information

NPI: 1316351042
Provider Name (Legal Business Name): EMILIAN CRISTEA MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/20/2014
Last Update Date: 02/04/2024
Certification Date: 02/04/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7261 SHERIDAN ST STE 360
HOLLYWOOD FL
33024-2726
US

IV. Provider business mailing address

7261 SHERIDAN ST STE 360
HOLLYWOOD FL
33024-2726
US

V. Phone/Fax

Practice location:
  • Phone: 954-226-0121
  • Fax: 866-981-2156
Mailing address:
  • Phone: 954-226-0121
  • Fax: 866-981-2156

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RN0300X
TaxonomyNephrology Physician
License NumberME140838
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: