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:
Map and Directions
Authorized official contact:
Name: Menendez, Luis Terry Doctor of Medicine (MD)
Phone: (813) 879-8436

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
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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