Provider Demographics
NPI:1922761758
Name:DURGHEU, ALEXANDRU STEFAN
Entity Type:Individual
Prefix:
First Name:ALEXANDRU
Middle Name:STEFAN
Last Name:DURGHEU
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1506 AREZZO CIR
Mailing Address - Street 2:
Mailing Address - City:BOYNTON BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33436-1114
Mailing Address - Country:US
Mailing Address - Phone:713-972-2091
Mailing Address - Fax:
Practice Address - Street 1:1506 AREZZO CIR
Practice Address - Street 2:
Practice Address - City:BOYNTON BEACH
Practice Address - State:FL
Practice Address - Zip Code:33436-1114
Practice Address - Country:US
Practice Address - Phone:713-972-2091
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-10-19
Last Update Date:2023-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1055116363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily