Provider Demographics
NPI:1760435507
Name:FUNIERU, IULIA (MD)
Entity Type:Individual
Prefix:DR
First Name:IULIA
Middle Name:
Last Name:FUNIERU
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1497 LEGENDS BLVD
Mailing Address - Street 2:
Mailing Address - City:CHAMPIONS GATE
Mailing Address - State:FL
Mailing Address - Zip Code:33896-8393
Mailing Address - Country:US
Mailing Address - Phone:407-479-2924
Mailing Address - Fax:407-479-2999
Practice Address - Street 1:1497 LEGENDS BLVD
Practice Address - Street 2:
Practice Address - City:CHAMPIONS GATE
Practice Address - State:FL
Practice Address - Zip Code:33896-8393
Practice Address - Country:US
Practice Address - Phone:407-479-2924
Practice Address - Fax:407-479-2999
Is Sole Proprietor?:No
Enumeration Date:2006-05-19
Last Update Date:2019-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME84704174400000X, 207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology
No174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL57865OtherBC/BS
FL0301067OtherUNITED HEALTHCARE
FL3096589OtherAETNA
FL10679101OtherCITRUS
FLE8733WOtherMEDICARE ID-TYPE UNSPECIFIED
FL10679101OtherCITRUS
FLE8733ZMedicare ID - Type Unspecified