Individual
DR. LOUIDOR ALLIANCE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
424 GAZETTA WAY, WEST PALM BEACH, FL 33413-1052
(561) 951-7074
Mailing address
850 S 21ST ST, STE B, FORT PIERCE, FL 34950-4829
(561) 951-7074
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
18107
PR
Other
Enumeration date
12/14/2010
Last updated
09/28/2016
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