Laos, Luis Fernando
Laos, Luis Fernando is an individual health care provider with primary practice located at 1893 Kingsley Ave Suite C, Orange Park FL 32073-4491. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Critical Care Medicine, Allopathic & Osteopathic Physicians / Pulmonary Disease. Allopathic & Osteopathic Physicians / Pulmonary Disease is his primary health care specialty. Laos, Luis Fernando can be contacted via phone (904) 276-2044.Contact Information
Primary practice address
1893 Kingsley Ave Suite C
Orange Park FL 32073-4491
Phone: (904) 276-2044
Fax: (904) 276-2106
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | ME70461 | Florida |
| Allopathic & Osteopathic Physicians / Critical Care Medicine | 207RC0200X | ME70461 | Florida |
| Allopathic & Osteopathic Physicians / Pulmonary Disease | 207RP1001X | ME70461 | Florida |
Profile Details
| NPI number | 1407815525 |
|---|---|
| LBN Legal business name | Laos, Luis Fernando |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 18th, 2006 |
| Last updated | Jan 23rd, 2012 - about 12 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1407815525 | NPPES |
| Florida | Other | 110181012 | RAILROAD MEDICARE |
| Florida | MEDICAID | 000804185A | RAILROAD MEDICARE |
| Florida | MEDICAID | 2552507-00 | RAILROAD MEDICARE |
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