Provider Demographics
NPI:1144272295
Name:CLINCEA, RADU (MD)
Entity type:Individual
Prefix:DR
First Name:RADU
Middle Name:
Last Name:CLINCEA
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 1:2672 ALOMA OAKS DR
Mailing Address - Street 2:
Mailing Address - City:OVIEDO
Mailing Address - State:FL
Mailing Address - Zip Code:32765-9159
Mailing Address - Country:US
Mailing Address - Phone:407-359-7389
Mailing Address - Fax:
Practice Address - Street 1:1875 FORTUNE RD
Practice Address - Street 2:
Practice Address - City:KISSIMMEE
Practice Address - State:FL
Practice Address - Zip Code:34744-4428
Practice Address - Country:US
Practice Address - Phone:407-343-2000
Practice Address - Fax:407-343-2002
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-17
Last Update Date:2015-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC20951207RI0200X
FLME123878207RI0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease