Individual
DR. ANTONIO LUIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
7800 66TH ST N STE 204, PINELLAS PARK, FL 33781-2101
(727) 753-7787
(833) 471-3023
Mailing address
7800 66TH ST N STE 204, PINELLAS PARK, FL 33781-2101
(727) 753-7787
(833) 471-3023
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD445187
PA
207R00000X
Internal Medicine Physician
Primary
ME150972
FL
Other
Enumeration date
06/04/2009
Last updated
10/04/2024
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