Provider Demographics
NPI:1639372253
Name:STOICI, ROXANA MANUELA (MD)
Entity Type:Individual
Prefix:DR
First Name:ROXANA
Middle Name:MANUELA
Last Name:STOICI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:2837 1ST AVE N
Mailing Address - Street 2:
Mailing Address - City:ST PETERSBURG
Mailing Address - State:FL
Mailing Address - Zip Code:33713-8603
Mailing Address - Country:US
Mailing Address - Phone:727-498-6554
Mailing Address - Fax:727-498-6555
Practice Address - Street 1:2837 1ST AVE N
Practice Address - Street 2:
Practice Address - City:ST PETERSBURG
Practice Address - State:FL
Practice Address - Zip Code:33713-8603
Practice Address - Country:US
Practice Address - Phone:727-498-6554
Practice Address - Fax:727-498-6555
Is Sole Proprietor?:No
Enumeration Date:2007-06-10
Last Update Date:2011-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME103103207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL93152OtherBLUE CROSS BLUE SHIELD OF FLORIDA
FLP00662871OtherMEDICARE-RAILROAD
FL9574123OtherAETNA-PPO
FL000240400Medicaid
FL8809263OtherCIGNA
FLAU828ZOtherMEDICARE
FL201266825OtherBEECH STREET
FL6778834OtherAETNA HMO
FL0121146OtherUNITED HEALTH CARE