Organization · NPI-2
A. Luis LLC
Internal Medicine · Pinellas Park, FL
NPI number1801540190
StatusActive
Last updated in NPPESFeb 8, 2024
Details
- NPI
- 1801540190
- Entity type
- Organization (NPI-2)
- Legal business name
- A. Luis LLC
- Organization subpart
- No
- Enumeration date
- Feb 7, 2022
- Certification date
- Feb 8, 2024
- Last updated
- Feb 8, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207R00000X | Internal Medicine | – | – | Yes |
Other names
- Inclusive Care Group (Doing Business As)
Practice location
7800 66th St N Ste 204Pinellas Park, FL 33781-2101
Phone 727-753-7787 · Fax 833-471-3023
Mailing address
7800 66th St N Ste 204Pinellas Park, FL 33781-2101
Phone 727-753-7787 · Fax 833-471-3023
Authorized official
Antonio Luis
Physician
7277537787
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