Luis T Menendez Md Pa
LBN: Luis T Menendez Md Pa
Luis T Menendez Md Pa is an health care organization with primary practice located at 3011 W Swann Ave , Tampa FL 33609-4059. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as the primary health care specialty.
Luis T Menendez Md Pa can be contacted via phone (813) 879-8436, or through Menendez, Luis Terry via phone (813) 879-8436.
Contact Information
Primary practice address
3011 W Swann Ave
Tampa FL 33609-4059
Phone: (813) 879-8436
Fax: (813) 878-2405
Website:
Authorized official contact:
Name: Menendez, Luis Terry Doctor of Medicine (MD)
Phone: (813) 879-8436
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | 24434 | Florida |
Profile Details
NPI number | 1952331860 |
---|---|
LBN Legal business name | Luis T Menendez Md Pa |
DBA Doing business as | |
Authorized official | Menendez, Luis Terry Doctor of Medicine (MD) |
Entity | Organization |
Organization subpart 1 | No |
Enumeration date | Jul 4th, 2006 |
Last updated | Nov 8th, 2007 - about 17 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1952331860 | NPPES |
Florida | Other | 10D0290339 | CLIA |
Florida | Other | 3211253 | CLIA |
Florida | Other | 406073185 | CLIA |
Florida | MEDICAID | 204969400 | CLIA |
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