Provider Demographics
NPI:1588759781
Name:MORARIU, MIRCEA ALBIN SR (MD)
Entity type:Individual
Prefix:
First Name:MIRCEA
Middle Name:ALBIN
Last Name:MORARIU
Suffix:SR
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5258 LINTON BLVD.
Mailing Address - Street 2:SUITE#101
Mailing Address - City:DELRAY BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33484-6540
Mailing Address - Country:US
Mailing Address - Phone:561-499-4667
Mailing Address - Fax:561-499-5137
Practice Address - Street 1:5258 LINTON BLVD.
Practice Address - Street 2:SUITE#101
Practice Address - City:DELRAY BEACH
Practice Address - State:FL
Practice Address - Zip Code:33484-6540
Practice Address - Country:US
Practice Address - Phone:561-499-4667
Practice Address - Fax:561-499-5137
Is Sole Proprietor?:No
Enumeration Date:2006-10-04
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL00376862084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLD70650Medicare UPIN