Corina Elena Radu, L.M.T.

Primary specialty

General Acute Care HospitalTaxonomy code 282N00000X

License

55534 Issued in FL

Practice address

1320 Roberts Dr
Jacksonville Beach, FL 32250-3253

Phone

(904) 627-1494

Fax

(904) 627-1499

NPI assigned

Mar 10, 2011

Last updated

Mar 11, 2011By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1299715200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1299801600000",
    "number": "1619275948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 FAIRWAY PARK BLVD UNIT 1103",
            "city": "PONTE VEDRA BEACH",
            "state": "FL",
            "postal_code": "320822623",
            "telephone_number": "904-994-6535",
            "fax_number": "904-627-1499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1320 ROBERTS DR",
            "city": "JACKSONVILLE BEACH",
            "state": "FL",
            "postal_code": "322503253",
            "telephone_number": "904-627-1494",
            "fax_number": "904-627-1499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RADU",
        "first_name": "CORINA",
        "middle_name": "ELENA",
        "credential": "L.M.T.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-03-10",
        "last_updated": "2011-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "FL",
            "license": "55534",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pure Joy Support Services LLC
• Nathaniel Luke Puyau, D.C.
• Linda Ann Quinn, MD
• Adriana Quinones Bonilla
• Rachel S Weinstein LMHC
• Randi Railsback, OTD, OTR/L
• Jasleen Kaur Raina, D.D.S.
• Pamela Ramos Rama, MD
• Cleveland W Randolph Jr., M.D.
• Tiffany Rawski Wood, MS

• General Acute Care Hospital in Jacksonville Beach, FL
• Providers in Jacksonville Beach, FL by specialty
• General Acute Care Hospital in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.