=====================================================
General NPI Number Information
=====================================================
NPI Number | 1760478572
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | DACIA FELIX MILESCU D.P.M.
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 09/27/2005
-----------------------------------------------------
Last Update Date | 07/09/2007
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 4106 W LAKE MARY BLVD
-----------------------------------------------------
City | LAKE MARY
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 32746-3383
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 407-333-3668
-----------------------------------------------------
Fax | 407-333-0219
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 1441 LANGHAM TER
-----------------------------------------------------
City | LAKE MARY
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 32746-1967
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 407-804-5269
-----------------------------------------------------
Fax | 407-333-0219
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 213ES0103X
-----------------------------------------------------
Taxonomy Name | Foot & Ankle Surgery Podiatrist
-----------------------------------------------------
License Number | PO3179
-----------------------------------------------------
License Number State | FL
-----------------------------------------------------