Provider Demographics
NPI:1558685206
Name:CHIRICA, FLORENTINA (MD)
Entity Type:Individual
Prefix:
First Name:FLORENTINA
Middle Name:
Last Name:CHIRICA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:FLORENTINA
Other - Middle Name:
Other - Last Name:ENUTA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:2200 JEFFERSON AVE
Mailing Address - Street 2:5TH F;
Mailing Address - City:TOLEDO
Mailing Address - State:OH
Mailing Address - Zip Code:43604-7101
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:2702 NAVARRE AVE
Practice Address - Street 2:SUITE 206
Practice Address - City:OREGON
Practice Address - State:OH
Practice Address - Zip Code:43616-3223
Practice Address - Country:US
Practice Address - Phone:419-696-6000
Practice Address - Fax:419-696-6018
Is Sole Proprietor?:No
Enumeration Date:2010-03-24
Last Update Date:2017-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35122012207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0103397Medicaid
OH0103397Medicaid