MEDICARE: MANUELA GEORGESCU MD

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	2084P0800X	Psychiatry Physician	ME82232	FL

General Provider Information

NPI Number	:	1912157306
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MANUELA GEORGESCU MD

Provider Business Mailing Address
First Line	:	2300 NW 89TH PL FL 3
Second Line	:
City	:	DORAL
State	:	FL
Zip	:	33172-2431
Country	:	US
Telephone Number	:	305-398-6100
Fax Number	:	305-757-4465

Provider Business Practice Location Address
First Line	:	3850 W FLAGLER ST
Second Line	:
City	:	CORAL GABLES
State	:	FL
Zip	:	33134-1604
Country	:	US
Telephone Number	:	305-759-8888
Fax Number	:	305-757-5989

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

Provider Enumeration Date	:	09/23/2008
Last Update Date	:	06/18/2026

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