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NPI Code Detail

MEDICARE: DR. LAVINIA SUCIU M.D.

MEDICARE: DR. LAVINIA SUCIU 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
1207RI0200XInfectious Disease PhysicianME82329FL

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2440003366OTHERFLMEDICARE RR

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3650623359OTHERFLTAX ID
407195OTHERFLBCBS

General Provider Information

NPI Number : 1427059922
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. LAVINIA SUCIU M.D.
Provider Business Mailing Address
First Line : 4440 FRUITVILLE RD
Second Line :
City : SARASOTA
State : FL
Zip : 34232-1926
Country : US
Telephone Number : 941-300-4440
Fax Number : 941-404-1760
Provider Business Practice Location Address
First Line : 1231 N TUTTLE AVE
Second Line :
City : SARASOTA
State : FL
Zip : 34237-3116
Country : US
Telephone Number : 941-366-0134
Fax Number : 866-622-3009
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/09/2005
Last Update Date : 01/09/2023

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