Provider Demographics
NPI:1770604142
Name:ANGHELUTA, DANIELA (LAC, LMT)
Entity type:Individual
Prefix:
First Name:DANIELA
Middle Name:
Last Name:ANGHELUTA
Suffix:
Gender:F
Credentials:LAC, LMT
Other - Prefix:
Other - First Name:DONNA
Other - Middle Name:
Other - Last Name:ANGHELUTA
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LAC, LMT
Mailing Address - Street 1:915 MIDDLE RIVER DRIVE
Mailing Address - Street 2:SUITE 105
Mailing Address - City:FORT LAUDERDALE
Mailing Address - State:FL
Mailing Address - Zip Code:33304-3559
Mailing Address - Country:US
Mailing Address - Phone:954-232-2090
Mailing Address - Fax:
Practice Address - Street 1:915 MIDDLE RIVER DR
Practice Address - Street 2:SUITE 105
Practice Address - City:FORT LAUDERDALE
Practice Address - State:FL
Practice Address - Zip Code:33304-3544
Practice Address - Country:US
Practice Address - Phone:954-232-2090
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-03
Last Update Date:2015-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAP1891171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist