Provider Demographics
NPI:1629600119
Name:CUC, ALEXANDRU F (PHD)
Entity Type:Individual
Prefix:DR
First Name:ALEXANDRU
Middle Name:F
Last Name:CUC
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3100 W ROLLING HILLS CIR APT 706
Mailing Address - Street 2:
Mailing Address - City:DAVIE
Mailing Address - State:FL
Mailing Address - Zip Code:33328-1960
Mailing Address - Country:US
Mailing Address - Phone:954-299-9889
Mailing Address - Fax:
Practice Address - Street 1:7501 NW 4TH ST STE 215
Practice Address - Street 2:
Practice Address - City:PLANTATION
Practice Address - State:FL
Practice Address - Zip Code:33317-2238
Practice Address - Country:US
Practice Address - Phone:954-299-9889
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-02-12
Last Update Date:2020-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLIMH18985101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty