Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 1223G0001X | General Practice | DN18373 | FL |
N | 213EG0000X | General Practice | DN18373 | FL |
Y | 1223P0700X | Prosthodontist | DN18373 | FL |
NPI | 1255563581 |
---|---|
Provider Name | Andres Carbunaru |
First Address | Weston, FL 33326-3251 |
Second Address | Weston, FL 33326-3251 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 20/08/2009 |
Last Update Date | 22/04/2013 |