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Individual

LUIS E SALA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
5701 OVERSEAS HWY, SUITE 8, MARATHON, FL 33050-2784
(305) 743-3511
(305) 743-9576
Mailing address
6301GULF OF MEXICO, MARATHON, FL 33050

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
ME72866
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
21079
BLUE CROSS BLUE SHIELD
FL
05
2526948000
FL
Enumeration date
05/23/2006
Last updated
05/20/2008
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