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Individual

DR. LUIS E JAVIER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1121 NW 64TH TER STE A, GAINESVILLE, FL 32605-4256
(523) 315-3103
Mailing address
318 S LINE AVE, INVERNESS, FL 34452-4606
(352) 637-5678

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
ME0074651
FL
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
ME0074651
FL
207RP1001X
Pulmonary Disease Physician
Primary
ME0074651
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
253521100
FL
01
290010379
MEDICARE RAILROAD
FL
01
59-2974057
TAX ID#
FL
Enumeration date
08/23/2006
Last updated
02/01/2022
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