Individual
LUIS ALBERIS GARCIA SOSA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
SA-C
Contact information
Practice address
28 PINE FOREST PL, APOPKA, FL 32712-2768
(978) 410-0786
Mailing address
28 PINE FOREST PL, APOPKA, FL 32712-2768
(978) 410-0786
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
24-335
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
G622-521-97-442-0
DRIVER LICENSE
FL
Enumeration date
06/28/2024
Last updated
07/28/2024
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