Healthcare Provider Details

I. General information

NPI: 1437110269
Provider Name (Legal Business Name): ANCA VICTORIA RUSU-LENGHEL M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/31/2006
Last Update Date: 05/07/2020
Certification Date: 05/07/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8592 POTTER PARK DR
SARASOTA FL
34238-5467
US

IV. Provider business mailing address

8592 POTTER PARK DR
SARASOTA FL
34238-5467
US

V. Phone/Fax

Practice location:
  • Phone: 941-921-6618
  • Fax: 941-922-0556
Mailing address:
  • Phone: 941-921-6618
  • Fax: 941-922-0556

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberME122959
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: