Individual
STEPHANIE NICOLAU RADUCU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7800 SW 57TH AVE STE 110, SOUTH MIAMI, FL 33143-5543
(305) 740-6181
(305) 741-6140
Mailing address
100 KINGS HWY S, ROCHESTER, NY 14617-5504
(585) 424-6770
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA9113455
FL
Other
Enumeration date
10/16/2018
Last updated
01/12/2023
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