Healthcare Provider Details
I. General information
NPI: 1639332760
Provider Name (Legal Business Name): CARMEN L MURESAN MD PA
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 07/09/2008
Last Update Date: 04/09/2010
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
848 BRICKELL AVE SUITE 210
MIAMI FL
33131-2949
US
IV. Provider business mailing address
848 BRICKELL AVE SUITE 210
MIAMI FL
33131-2949
US
V. Phone/Fax
- Phone: 305-377-0017
- Fax: 305-377-8001
- Phone: 305-377-0017
- Fax: 305-377-8001
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207LP2900X |
| Taxonomy | Pain Medicine (Anesthesiology) Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
CARMEN
L
MURESAN
Title or Position: PRESIDENT
Credential: MD
Phone: 305-377-0017