Individual
DR. LUIZ ANTONIO LIARTE MARCONCINI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3001 W DR MARTIN LUTHER KING JR BLVD FL 1, TAMPA, FL 33607
(813) 321-6589
(813) 321-6590
Mailing address
PO BOX 10744, CLEARWATER, FL 33757-8744
(727) 532-0002
(727) 266-4943
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD458192
PA
207R00000X
Internal Medicine Physician
ME135146
FL
207RH0003X
Hematology & Oncology Physician
Primary
ME135146
FL
390200000X
Student in an Organized Health Care Education/Training Program
MT207795
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100303600
—
FL
Enumeration date
08/15/2012
Last updated
08/20/2018
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