Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080P0210X | Pediatric Nephrologist | ME69131 | FL |
NPI | 1598785479 |
---|---|
Provider Name | Alex Constantinescu |
First Address | Miramar, FL 33025-3925 |
Second Address | Hollywood, FL 33021-5403 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/07/2006 |
Last Update Date | 17/03/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
265611600 | (05) | FL |
F68294 | (02) | FL |