Individual
CATALINA BAZACLIU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1600 SW ARCHER RD, BOX 100371, GAINESVILLE, FL 32610-0371
(352) 265-0301
Mailing address
1600 SW ARCHER RD, BOX 100371, GAINESVILLE, FL 32610-0371
(352) 265-0301
Taxonomy
Speciality
Code
Description
License number
State
2080N0001X
Neonatal-Perinatal Medicine Physician
046787
CT
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
065994
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003108886A
—
GA
05
—
011053400
—
FL
Enumeration date
04/13/2009
Last updated
07/03/2014
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