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Contact Information

RADU GHEORGHE, PA-C
1895 KINGSLEY AVE STE 300
ORANGE PARK, FL32073
 Phone: 904-276-2549
 Fax: 904-276-9235
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physician Assistant

363A00000X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for RADU GHEORGHE · (Male)

NPI # 1043733967
Status Active
Credentials PA-C (Physician Assistant-Certified)
Entity Individual
Enumeration date 07/23/2017
Last updated 05/29/2019 - About 4 months ago
Sole proprietor 1 Yes
Identifiers
  • FL License # PA9110638
Hospital affiliation(s)
  • MEMORIAL HOSPITAL JACKSONVILLE - (Acute Care)
    3625 UNIVERSITY BLVD S
    JACKSONVILLE, FL 32216
  • ORANGE PARK MEDICAL CENTER - (Acute Care)
    2001 KINGSLEY AVE
    ORANGE PARK, FL 32073
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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