Duharte Vidaurre, Luis Angel

Duharte Vidaurre, Luis Angel is an individual health care provider with primary practice located at 130 Medical Center Ave , Sebring FL 33870-5463. He recently has only one registered license in Allopathic & Osteopathic Physicians / Infectious Disease, which is considered as his primary health care specialty. Duharte Vidaurre, Luis Angel can be contacted via phone (863) 314-0004.

Contact Information

Primary practice address
130 Medical Center Ave Sebring FL 33870-5463
Phone: (863) 314-0004
Fax: (863) 304-8284
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Infectious Disease 207RI0200X ME95160 Florida

Profile Details

NPI number 1225076797
LBN Legal business name Duharte Vidaurre, Luis Angel
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 4th, 2006
Last updated Apr 23rd, 2018 - about 7 years 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 1225076797 NPPES
Other P00316333 RAILROAD MEDICARE
Other 52551 RAILROAD MEDICARE
MEDICAID 023676600 RAILROAD MEDICARE

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