Individual
MIHAELA IONESCU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1536 KINGSLEY AVE STE 118, ORANGE PARK, FL 32073-4525
(904) 298-2113
(904) 298-1922
Mailing address
2021 KINGSLEY AVE STE 101, ORANGE PARK, FL 32073-5128
(904) 298-2113
(904) 298-1922
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
ME79995
FL
207RI0200X
Infectious Disease Physician
ME79995
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
258902800
—
FL
Enumeration date
03/16/2006
Last updated
12/06/2019
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