Radi, Luciano John

Radi, Luciano John is an individual health care provider with primary practice located at 6550 N Federal Hwy Ste 512, Ft Lauderdale FL 33308-1404. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as his primary health care specialty. Radi, Luciano John can be contacted via phone (954) 267-8777.

Contact Information

Primary practice address
6550 N Federal Hwy Ste 512 Ft Lauderdale FL 33308-1404
Phone: (954) 267-8777
Fax: (954) 772-7801
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X PA9104117 Florida

Profile Details

NPI number 1215129622
LBN Legal business name Radi, Luciano John
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 10th, 2007
Last updated Nov 3rd, 2009 - about 15 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 1215129622 NPPES
Florida MEDICAID 292960100
Florida Other AH414Z

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