Dibos, Luis A.

Dibos, Luis A. is an individual health care provider with primary practice located at 2380 Harbor Blvd , Port Charlotte FL 33952-5024. He recently has only one registered license in Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery), which is considered as his primary health care specialty. Dibos, Luis A. can be contacted via phone (941) 206-0325.

Contact Information

Primary practice address
2380 Harbor Blvd Port Charlotte FL 33952-5024
Fax: (941) 766-0423
Website:

Profile Details

NPI number 1679577639
LBN Legal business name Dibos, Luis A.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 8th, 2005
Last updated Feb 28th, 2024 - about 10 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1679577639 NPPES
Maryland MEDICAID 187171400

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