Organization
STEFAN L. STANESCU, MD, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEFAN LUCIAN STANESCU MD (OWNER)
(904) 797-2663
Entity
Organization
Contact information
Practice address
105 SOUTHPARK BLVD STE C300, ST AUGUSTINE, FL 32086-4162
(904) 797-2663
(904) 819-0997
Mailing address
PO BOX 9018, ST AUGUSTINE, FL 32085-9018
(904) 797-2663
(904) 819-0997
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
ME0076144
FL
332B00000X
Durable Medical Equipment & Medical Supplies
ME0076144
FL
Other
Enumeration date
11/18/2008
Last updated
02/17/2011
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