Provider Demographics
NPI:1023317500
Name:ANGHEL, LAVINIU ION (MD)
Entity type:Individual
Prefix:
First Name:LAVINIU
Middle Name:ION
Last Name:ANGHEL
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1951 SW 172ND AVE STE 212
Mailing Address - Street 2:
Mailing Address - City:MIRAMAR
Mailing Address - State:FL
Mailing Address - Zip Code:33029-5613
Mailing Address - Country:US
Mailing Address - Phone:954-504-4494
Mailing Address - Fax:954-507-4515
Practice Address - Street 1:1951 SW 172ND AVE STE 212
Practice Address - Street 2:
Practice Address - City:MIRAMAR
Practice Address - State:FL
Practice Address - Zip Code:33029-5613
Practice Address - Country:US
Practice Address - Phone:954-507-4494
Practice Address - Fax:954-507-4515
Is Sole Proprietor?:Yes
Enumeration Date:2011-03-23
Last Update Date:2021-09-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4301097961282NW0100X
FLME122662207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
No282NW0100XHospitalsGeneral Acute Care HospitalWomen
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL015489300Medicaid
FL015489300Medicaid