Healthcare Provider Details

I. General information

NPI: 1760700942
Provider Name (Legal Business Name): MONICA BEATRICE CONSTANTINESCU M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/12/2010
Last Update Date: 10/28/2025
Certification Date: 10/28/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1707 RIGGINS RD
TALLAHASSEE FL
32308-5317
US

IV. Provider business mailing address

8170 ROURK ST STE 175
MYRTLE BEACH SC
29572-4127
US

V. Phone/Fax

Practice location:
  • Phone: 850-877-4134
  • Fax: 850-942-4112
Mailing address:
  • Phone: 843-449-0453
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207N00000X
TaxonomyDermatology Physician
License Number310675
License Number StateNY
# 2
Primary TaxonomyN
Taxonomy Code207N00000X
TaxonomyDermatology Physician
License Number161615
License Number StateFL
# 3
Primary TaxonomyN
Taxonomy Code207NS0135X
TaxonomyProcedural Dermatology Physician
License Number310675
License Number StateNY
# 4
Primary TaxonomyY
Taxonomy Code207ND0101X
TaxonomyMOHS-Micrographic Surgery Physician
License Number95769
License Number StateSC
# 5
Primary TaxonomyN
Taxonomy Code207N00000X
TaxonomyDermatology Physician
License NumberA114925
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: