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Individual

DR. LUIS R. ANNONI-SUAU

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
14100 FIVAY RD, SUITE 310, HUDSON, FL 34667
(727) 862-3202
(727) 862-2182
Mailing address
2035 LITTLE ROAD, TRINITY, FL 34655
(727) 862-3202
(727) 862-2182

Taxonomy

Speciality
Code
Description
License number
State
207RC0001X
Clinical Cardiac Electrophysiology Physician
Primary
ME68092
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0656257
AETNA
01
214667
AVMED
01
2505231
UNITED HEALTH CARE
01
27056
BLUE CROSS BLUE SHIELD
05
378583100
FL
01
6384447002
CIGNA
Enumeration date
10/07/2005
Last updated
01/28/2019
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