Individual
MS. DIANA N MOLDOVEANU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1741 DAVID WALKER DR, TAVARES, FL 32778-5745
(352) 742-8836
(352) 742-8829
Mailing address
1741 DAVID WALKER DR, TAVARES, FL 32778-5745
(352) 742-8836
(352) 742-8829
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
049067
GA
207R00000X
Internal Medicine Physician
ME120636
FL
208M00000X
Hospitalist Physician
Primary
ME120636
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000875421C
—
GA
01
—
39020409859
BCBS
GA
01
—
P00147233
RAILROAD MEDICARE
GA
Enumeration date
01/27/2006
Last updated
07/21/2022
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