Provider Demographics
NPI:1144695768
Name:ANCA, IULIANA
Entity type:Individual
Prefix:
First Name:IULIANA
Middle Name:
Last Name:ANCA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2909 W STATE ROAD 434 STE 121
Mailing Address - Street 2:
Mailing Address - City:LONGWOOD
Mailing Address - State:FL
Mailing Address - Zip Code:32779-4459
Mailing Address - Country:US
Mailing Address - Phone:407-739-7341
Mailing Address - Fax:
Practice Address - Street 1:2909 W STATE ROAD 434 STE 121
Practice Address - Street 2:
Practice Address - City:LONGWOOD
Practice Address - State:FL
Practice Address - Zip Code:32779-4459
Practice Address - Country:US
Practice Address - Phone:407-739-7341
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-12-08
Last Update Date:2015-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAP3667171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist