Logrono, Luis A

Logrono, Luis A is an individual health care provider with primary practice located at 18964 Dale Mabry Hwy N Suite 101, Lutz FL 33548-4913. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Logrono, Luis A can be contacted via phone (813) 948-2107.

Contact Information

Primary practice address
18964 Dale Mabry Hwy N Suite 101 Lutz FL 33548-4913
Phone: (813) 948-2107
Fax: (813) 948-2790
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X ME67430 Florida

Profile Details

NPI number 1700875739
LBN Legal business name Logrono, Luis A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 21st, 2005
Last updated Apr 1st, 2010 - about 14 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 1700875739 NPPES
Florida MEDICAID 379686800
Florida Other 33310
Florida Other 9326165
Florida Other 5359105
Florida Other 33864

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