Individual
RADU GHEORGHE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1895 KINGSLEY AVE STE 300, ORANGE PARK, FL 32073
(904) 276-2549
(904) 276-9235
Mailing address
PO BOX 370, FORTSON, GA 31808-0370
(706) 494-3008
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA9110638
FL
363AS0400X
Surgical Physician Assistant
Primary
PA9110638
FL
Other
Enumeration date
07/23/2017
Last updated
03/10/2025
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