Individual
TINA H LUO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CAA
Contact information
Practice address
2776 CLEVELAND AVE, FORT MYERS, FL 33901-5864
(239) 343-2000
Mailing address
7617 SANTEE TER, LAKE WORTH, FL 33467
(786) 205-1090
Taxonomy
Speciality
Code
Description
License number
State
367H00000X
Anesthesiologist Assistant
Primary
AA986
FL
Other
Enumeration date
08/22/2024
Last updated
10/18/2024
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