MEDICARE: DR. RADU CLINCEA M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RI0200X	Infectious Disease Physician	20951	SC
2	207RI0200X	Infectious Disease Physician	ME123878	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1144272295
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. RADU CLINCEA M.D.

Provider Business Mailing Address
First Line	:	2672 ALOMA OAKS DR
Second Line	:
City	:	OVIEDO
State	:	FL
Zip	:	32765-9159
Country	:	US
Telephone Number	:	407-359-7389
Fax Number	:

Provider Business Practice Location Address
First Line	:	1875 FORTUNE RD
Second Line	:
City	:	KISSIMMEE
State	:	FL
Zip	:	34744-4428
Country	:	US
Telephone Number	:	407-343-2000
Fax Number	:	407-343-2002

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/17/2006
Last Update Date	:	08/20/2015

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