Healthcare Provider Details

I. General information

NPI: 1972576932
Provider Name (Legal Business Name): LIVIU LUCIAN FLORESCU M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/09/2006
Last Update Date: 04/15/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8075 SPYGLASS HILL RD SUITE 101
MELBOURNE FL
32940-8281
US

IV. Provider business mailing address

PO BOX 11406
BELFAST ME
04915-4005
US

V. Phone/Fax

Practice location:
  • Phone: 321-752-4100
  • Fax: 321-752-0307
Mailing address:
  • Phone: 321-752-4100
  • Fax: 321-752-0307

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number0051519
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: