Provider Demographics
NPI:1376657122
Name:AWAN, LILIANA MARCU (MD)
Entity Type:Individual
Prefix:DR
First Name:LILIANA
Middle Name:MARCU
Last Name:AWAN
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Gender:F
Credentials:MD
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Mailing Address - Street 1:4050 SHERIDAN STREET
Mailing Address - Street 2:SUITE C
Mailing Address - City:HOLLYWOOD
Mailing Address - State:FL
Mailing Address - Zip Code:33021
Mailing Address - Country:US
Mailing Address - Phone:954-889-0211
Mailing Address - Fax:954-889-0213
Practice Address - Street 1:4050 SHERIDAN STREET
Practice Address - Street 2:SUITE C
Practice Address - City:HOLLYWOOD
Practice Address - State:FL
Practice Address - Zip Code:33021
Practice Address - Country:US
Practice Address - Phone:954-889-0211
Practice Address - Fax:954-889-0213
Is Sole Proprietor?:No
Enumeration Date:2006-08-18
Last Update Date:2010-08-10
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Provider Licenses
StateLicense IDTaxonomies
FLME98935207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL279018100Medicaid
FL279018100Medicaid