Luz, Vincent S

Luz, Vincent S is an individual health care provider with primary practice located at 100 Whetstone Pl Ste 211 , St Augustine FL 32086-5775. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Luz, Vincent S can be contacted via phone (904) 342-7648.

Contact Information

Primary practice address
100 Whetstone Pl Ste 211 St Augustine FL 32086-5775
Phone: (904) 342-7648
Fax: (904) 342-8567
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X ME90727 Florida
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 27424 Oklahoma

Profile Details

NPI number 1477658342
LBN Legal business name Luz, Vincent S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 14th, 2006
Last updated Jul 21st, 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 1477658342 NPPES
Florida MEDICAID 263972605
Florida MEDICAID 263972606
Florida MEDICAID 263972601
Florida MEDICAID 263972604
Florida MEDICAID 263972600
Florida MEDICAID 270050600
Florida MEDICAID 263972602
Florida MEDICAID 263972603

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