Individual
DR. JULIO LAUTERSZTAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M. D.
Contact information
Practice address
30 LADOGA AVE, TAMPA, FL 33606-3804
(813) 476-9515
Mailing address
30 LADOGA AVE, TAMPA, FL 33606-3804
(813) 476-9515
Taxonomy
Speciality
Code
Description
License number
State
207RX0202X
Medical Oncology Physician
Primary
ME0058235
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
064771300
—
FL
01
—
11593
BLUE CROSS BLUE SHIELD
FL
01
—
P00679541
RR MEDICARE
FL
Enumeration date
05/12/2006
Last updated
12/22/2025
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