MEDICARE: DAN GEORGESCU 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	207W00000X	Ophthalmology Physician	6019935-1205	UT
2	207W00000X	Ophthalmology Physician	ME128721	FL
3	207W00000X	Ophthalmology Physician	D70676	MD
4	207WX0200X	Ophthalmic Plastic and Reconstructive Surgery Physician	ME128721	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
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1598936924
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DAN GEORGESCU M.D.

Provider Business Mailing Address
First Line	:	PO BOX 4651
Second Line	:
City	:	FORT LAUDERDALE
State	:	FL
Zip	:	33338-4651
Country	:	US
Telephone Number	:	954-681-3401
Fax Number	:

Provider Business Practice Location Address
First Line	:	1776 N PINE ISLAND RD STE 218
Second Line	:
City	:	PLANTATION
State	:	FL
Zip	:	33322-5223
Country	:	US
Telephone Number	:	954-681-3401
Fax Number	:

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

Provider Enumeration Date	:	03/13/2008
Last Update Date	:	07/21/2022

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Directions to “ DAN GEORGESCU M.D.” Practice Location

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