Individual
CORINA ELENA RADU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.M.T.
Contact information
Practice address
1320 ROBERTS DR, JACKSONVILLE BEACH, FL 32250-3253
(904) 627-1494
(904) 627-1499
Mailing address
100 FAIRWAY PARK BLVD UNIT 1103, PONTE VEDRA BEACH, FL 32082-2623
(904) 994-6535
(904) 627-1499
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
55534
FL
Other
Enumeration date
03/10/2011
Last updated
03/11/2011
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