Individual
DR. LUIS DAVID SUMOZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
100 NW 170TH ST STE 207, NORTH MIAMI BEACH, FL 33169-5510
(786) 785-7567
(786) 785-7585
Mailing address
100 NW 170TH ST STE 207, NORTH MIAMI BEACH, FL 33169-5510
(786) 785-7567
(786) 785-7585
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
036126207
IL
207RH0000X
Hematology (Internal Medicine) Physician
Primary
ME164064
FL
207RX0202X
Medical Oncology Physician
036126207
IL
207RX0202X
Medical Oncology Physician
ME164064
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200084858
—
MO
Enumeration date
07/24/2013
Last updated
01/23/2024
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