Individual
MR. STEFAN L STANESCU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
105 SOUTHPARK BLVD, SUITE C300, SAINT AUGUSTINE, FL 32086-5191
(904) 797-2663
(904) 819-0997
Mailing address
105 SOUTHPARK BLVD, SUITE C300, SAINT AUGUSTINE, FL 32086-5191
(904) 797-2663
(904) 819-0997
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
ME0076144
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
254950601
—
FL
01
—
43694
BLUE CROSS BLUE SHIELD FL
FL
01
—
5929627
AETNA
FL
Enumeration date
01/23/2006
Last updated
03/10/2011
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