Provider Demographics
NPI:1366629131
Name:MOISIUC, FLORIN VICTOR (MD)
Entity Type:Individual
Prefix:
First Name:FLORIN
Middle Name:VICTOR
Last Name:MOISIUC
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:508 LODGE TRAIL CIR
Mailing Address - Street 2:
Mailing Address - City:PRESCOTT
Mailing Address - State:AZ
Mailing Address - Zip Code:86303-4991
Mailing Address - Country:US
Mailing Address - Phone:928-202-6327
Mailing Address - Fax:
Practice Address - Street 1:726 GAIL GARDNER WAY
Practice Address - Street 2:STE. B
Practice Address - City:PRESCOTT
Practice Address - State:AZ
Practice Address - Zip Code:86305-2314
Practice Address - Country:US
Practice Address - Phone:928-778-0309
Practice Address - Fax:928-778-2678
Is Sole Proprietor?:No
Enumeration Date:2008-01-23
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA101299207RC0000X
AZ46651207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ720383Medicaid
AZ720383Medicaid
AZZ155302Medicare PIN