Healthcare Provider Details

I. General information

NPI: 1154257913
Provider Name (Legal Business Name): ALEXANDER MARIUS CONDOROTEANU-OROVEANU DPM
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/19/2026
Last Update Date: 06/19/2026
Certification Date: 06/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13800 VETERANS WAY
ORLANDO FL
32827-7401
US

IV. Provider business mailing address

559 GLORIETA DR
ST AUGUSTINE FL
32095-7536
US

V. Phone/Fax

Practice location:
  • Phone: 407-631-3205
  • Fax:
Mailing address:
  • Phone: 904-477-6638
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code213EP1101X
TaxonomyPrimary Podiatric Medicine Podiatrist
License NumberPR941
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code213ER0200X
TaxonomyRadiology Podiatrist
License NumberPR941
License Number StateFL
# 3
Primary TaxonomyN
Taxonomy Code213ES0000X
TaxonomySports Medicine Podiatrist
License NumberPR941
License Number StateFL
# 4
Primary TaxonomyN
Taxonomy Code213ES0103X
TaxonomyFoot & Ankle Surgery Podiatrist
License NumberPR941
License Number StateFL
# 5
Primary TaxonomyN
Taxonomy Code213ES0131X
TaxonomyFoot Surgery Podiatrist
License NumberPR941
License Number StateFL
# 6
Primary TaxonomyY
Taxonomy Code213E00000X
TaxonomyPodiatrist
License NumberPR941
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: