Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223G0001X | General Practice | 11594 | FL |
Y | 213EG0000X | General Practice | 11594 | FL |
NPI | 1003926254 |
---|---|
Provider Name | Dr. Michael Nicolae Georgescu |
First Address | Sunny Isles Beach, FL 33160-4535 |
Second Address | Davie, FL 33328-2018 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 30/08/2006 |
Last Update Date | 08/07/2007 |