Provider Demographics
NPI:1639332760
Name:CARMEN L MURESAN MD PA
Entity Type:Organization
Organization Name:CARMEN L MURESAN MD PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:CARMEN
Authorized Official - Middle Name:L
Authorized Official - Last Name:MURESAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:305-377-0017
Mailing Address - Street 1:848 BRICKELL AVE
Mailing Address - Street 2:SUITE 210
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33131-2949
Mailing Address - Country:US
Mailing Address - Phone:305-377-0017
Mailing Address - Fax:305-377-8001
Practice Address - Street 1:848 BRICKELL AVE
Practice Address - Street 2:SUITE 210
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33131-2949
Practice Address - Country:US
Practice Address - Phone:305-377-0017
Practice Address - Fax:305-377-8001
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-07-09
Last Update Date:2010-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207LP2900XAllopathic & Osteopathic PhysiciansAnesthesiologyPain MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLBF655Medicare PIN