Individual
DR. LAVINIA SUCIU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1231 N TUTTLE AVE, SARASOTA, FL 34237-3116
(941) 366-0134
(866) 622-3009
Mailing address
4440 FRUITVILLE RD, SARASOTA, FL 34232-1926
(941) 300-4440
(941) 404-1760
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
ME82329
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
07195
BCBS
FL
05
—
261801000
—
FL
01
—
440003366
MEDICARE RR
FL
01
—
650623359
TAX ID
FL
Enumeration date
08/09/2005
Last updated
01/09/2023
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