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Individual

LOUTFI SUCCARI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
2 TAMPA GENERAL CIR, TAMPA, FL 33606-3571
(813) 974-2201
(813) 974-4325
Mailing address
PO BOX 917770, ORLANDO, FL 32891-0001
(813) 974-2201
(813) 974-4325

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
36724
SC
207R00000X
Internal Medicine Physician
57019626
OH
207R00000X
Internal Medicine Physician
ME122420
FL
207RR0500X
Rheumatology Physician
Primary
ME122420
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
110922600
FL
01
14ZCO
BLUE CROSS BLUE SHIELD
FL
Enumeration date
10/01/2011
Last updated
08/09/2021
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