Organization
CHARLES A LUXENBERG MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. GWYNN F FISHMAN (INSURANCE ADMINISTRATOR)
(727) 785-6777
Entity
Organization
Contact information
Practice address
2595 TAMPA RD, SUITE A, PALM HARBOR, FL 34684-3152
(727) 785-6777
(727) 785-7102
Mailing address
2595 TAMPA RD, SUITE A, PALM HARBOR, FL 34684-3130
(727) 785-6777
(727) 785-7102
Taxonomy
Speciality
Code
Description
License number
State
156FX1100X
Ophthalmic Technician/Technologist
Primary
ME35503
FL
Other
Enumeration date
02/01/2012
Last updated
03/07/2023
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