Provider Demographics
NPI:1457676918
Name:DOBRESCU, CARMEN LIVIA (MD)
Entity Type:Individual
Prefix:DR
First Name:CARMEN
Middle Name:LIVIA
Last Name:DOBRESCU
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:CARMEN
Other - Middle Name:LIVIA
Other - Last Name:MACOVEI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:511 LESLIE DR
Mailing Address - Street 2:
Mailing Address - City:HALLANDALE BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33009-2952
Mailing Address - Country:US
Mailing Address - Phone:954-593-6223
Mailing Address - Fax:754-888-9979
Practice Address - Street 1:3501 JOHNSON ST
Practice Address - Street 2:
Practice Address - City:HOLLYWOOD
Practice Address - State:FL
Practice Address - Zip Code:33021-5421
Practice Address - Country:US
Practice Address - Phone:954-593-6223
Practice Address - Fax:754-888-9979
Is Sole Proprietor?:Yes
Enumeration Date:2010-03-28
Last Update Date:2019-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME1383652084P0800X, 2084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL103678100Medicaid