Provider Demographics
NPI:1447243514
Name:GADALEAN, FLORIN N (MD)
Entity Type:Individual
Prefix:
First Name:FLORIN
Middle Name:N
Last Name:GADALEAN
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 1:807 S ORLANDO AVE
Mailing Address - Street 2:SUITE C
Mailing Address - City:WINTER PARK
Mailing Address - State:FL
Mailing Address - Zip Code:32789-4870
Mailing Address - Country:US
Mailing Address - Phone:407-894-4693
Mailing Address - Fax:407-539-0469
Practice Address - Street 1:10967 LAKE UNDERHILL RD
Practice Address - Street 2:SUITE 105
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32825-4457
Practice Address - Country:US
Practice Address - Phone:407-515-2250
Practice Address - Fax:407-309-5438
Is Sole Proprietor?:No
Enumeration Date:2005-08-24
Last Update Date:2017-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME0079592207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL06759OtherBCBS
FL283368OtherAVMED
FL263566600Medicaid
FLP00192030OtherRAILROAD MEDICARE
FLP00192030OtherRAILROAD MEDICARE
FL263566600Medicaid
FL263566600Medicaid