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Individual

MR. DAN MOLDOVEANU

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
133 BENMORE DR, SUITE 200, WINTER PARK, FL 32792-4111
(407) 646-7070
(407) 646-7747
Mailing address
133 BENMORE DR, SUITE 200, WINTER PARK, FL 32792-4111
(407) 646-7070
(407) 646-7747

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
047494
GA
207R00000X
Internal Medicine Physician
Primary
ME120993
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000848856D
GA
01
52748909859
BCBS
GA
01
P00651138
RRMCA
GA
Enumeration date
01/27/2006
Last updated
07/20/2015
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