Provider Demographics
NPI:1972576932
Name:FLORESCU, LIVIU LUCIAN (MD)
Entity type:Individual
Prefix:DR
First Name:LIVIU
Middle Name:LUCIAN
Last Name:FLORESCU
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 11406
Mailing Address - Street 2:
Mailing Address - City:BELFAST
Mailing Address - State:ME
Mailing Address - Zip Code:04915-4005
Mailing Address - Country:US
Mailing Address - Phone:321-752-4100
Mailing Address - Fax:321-752-0307
Practice Address - Street 1:8075 SPYGLASS HILL RD
Practice Address - Street 2:SUITE 101
Practice Address - City:MELBOURNE
Practice Address - State:FL
Practice Address - Zip Code:32940-8281
Practice Address - Country:US
Practice Address - Phone:321-752-4100
Practice Address - Fax:321-752-0307
Is Sole Proprietor?:No
Enumeration Date:2006-02-09
Last Update Date:2015-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL0051519207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL038597200Medicaid
FLD51460Medicare UPIN
FL038597200Medicaid