Lustgarten, Moises

Lustgarten, Moises is an individual health care provider with primary practice located at 8950 N Kendall Dr Ste 410W , Miami FL 33176-2127. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pain Medicine, Allopathic & Osteopathic Physicians / Interventional Pain Medicine. Allopathic & Osteopathic Physicians / Interventional Pain Medicine is his primary health care specialty. Lustgarten, Moises can be contacted via phone (786) 596-3876.

Contact Information

Primary practice address
8950 N Kendall Dr Ste 410W Miami FL 33176-2127
Phone: (786) 596-3876
Fax: (786) 533-9989
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pain Medicine 207LP2900X ME76936 Florida
Allopathic & Osteopathic Physicians / Interventional Pain Medicine 208VP0014X ME76936 Florida

Profile Details

NPI number 1518947324
LBN Legal business name Lustgarten, Moises
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 18th, 2006
Last updated Jul 13th, 2022 - about 2 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 1518947324 NPPES
Florida Other 58934 BCBS
Florida MEDICAID 262047200 BCBS

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