Organization
LIGHTHOUSE PEDIATRICS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VINCENT LUZ MD (OWNER)
(904) 342-7648
Entity
Organization
Contact information
Practice address
100 WHETSTONE PL, SUITE 211, ST AUGUSTINE, FL 32086-5774
(904) 342-7648
(904) 342-8567
Mailing address
100 WHETSTONE PL, SUITE 211, ST AUGUSTINE, FL 32086-5774
(904) 342-7648
(904) 342-8567
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
ME90727
FL
Other
Enumeration date
04/25/2014
Last updated
04/25/2014
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