Healthcare Provider Details

I. General information

NPI: 1477472165
Provider Name (Legal Business Name): SIMONA IOANA IONESCU MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/15/2026
Last Update Date: 07/15/2026
Certification Date: 07/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4308 ALTON RD STE 860
MIAMI FL
33140-4558
US

IV. Provider business mailing address

1756 N BAYSHORE DR APT 26B
MIAMI FL
33132-2720
US

V. Phone/Fax

Practice location:
  • Phone: 305-619-7689
  • Fax:
Mailing address:
  • Phone: 305-619-7689
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RI0200X
TaxonomyInfectious Disease Physician
License Number42352
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: