Individual
DR. MOISES LUSTGARTEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
8950 N KENDALL DR STE 410W, MIAMI, FL 33176-2127
(786) 596-3876
(786) 533-9989
Mailing address
PO BOX 198054, ATLANTA, GA 30384-8054
(786) 596-3876
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
ME76936
FL
208VP0014X
Interventional Pain Medicine Physician
Primary
ME76936
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
262047200
—
FL
01
—
58934
BCBS
FL
Enumeration date
01/18/2006
Last updated
07/13/2022
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