Provider Demographics
NPI:1316369762
Name:URLEA, FLORIN
Entity Type:Individual
Prefix:DR
First Name:FLORIN
Middle Name:
Last Name:URLEA
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6645 W PEORIA AVE
Mailing Address - Street 2:
Mailing Address - City:GLENDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85302-1011
Mailing Address - Country:US
Mailing Address - Phone:623-773-2954
Mailing Address - Fax:623-773-2956
Practice Address - Street 1:6645 W PEORIA AVE
Practice Address - Street 2:
Practice Address - City:GLENDALE
Practice Address - State:AZ
Practice Address - Zip Code:85302-1011
Practice Address - Country:US
Practice Address - Phone:623-773-2954
Practice Address - Fax:623-773-2956
Is Sole Proprietor?:Yes
Enumeration Date:2014-01-19
Last Update Date:2014-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ12963183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist