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Organization

LUIS PLASENCIA M.D.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. LUIS PLASENCIA M.D. (PHYSICIAN/ OWNER)
(305) 554-9568
Entity
Organization

Contact information

Practice address
8741 CORAL WAY, MIAMI, FL 33165-2005
(305) 226-7800
(305) 551-2953
Mailing address
8741 CORAL WAY, MIAMI, FL 33165-2005
(305) 226-7800
(305) 551-2953

Taxonomy

Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
Primary
ME0045681
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
043526100
FL
01
1265415939
NPI
FL
Enumeration date
12/18/2015
Last updated
12/18/2015
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