Dr. Michael Anthony Loguidice Sr., D.O.
Emergency Medicine in Lutz, FL. Individual provider (NPI-1).
NPI number1063487635
StatusActive
Last updated in NPPESOct 5, 2022
Details
- NPI
- 1063487635
- Entity type
- Individual (NPI-1)
- Name
- Dr. Michael Anthony Loguidice Sr.
- Credential
- D.O.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Feb 17, 2006
- Certification date
- Oct 5, 2022
- Last updated
- Oct 5, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207P00000X | Emergency Medicine | os8587 | FL | Yes |
| 207P00000X | Emergency Medicine | 1404 | SC |
Practice location
23110 Sr 54 #328Lutz, FL 33549
Phone 727-808-7123
Mailing address
23110 Sr 54 #328Lutz, FL 33549
Phone 727-808-7123
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