Healthcare Provider Details

I. General information

NPI: 1558685206
Provider Name (Legal Business Name): FLORENTINA CHIRICA M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: FLORENTINA ENUTA M.D.

II. Dates (important events)

Enumeration Date: 03/24/2010
Last Update Date: 02/06/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2702 NAVARRE AVE SUITE 206
OREGON OH
43616-3223
US

IV. Provider business mailing address

2200 JEFFERSON AVE 5TH F;
TOLEDO OH
43604-7101
US

V. Phone/Fax

Practice location:
  • Phone: 419-696-6000
  • Fax: 419-696-6018
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number35122012
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: