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 codeDescriptionLicenseStatePrimary
207R00000X Internal Medicine––Yes

Other names

  • Inclusive Care Group (Doing Business As)

Practice location

7800 66th St N Ste 204
Pinellas Park, FL 33781-2101

Phone 727-753-7787 · Fax 833-471-3023

Mailing address

7800 66th St N Ste 204
Pinellas Park, FL 33781-2101

Phone 727-753-7787 · Fax 833-471-3023

Authorized official

Antonio Luis
Physician
7277537787

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Internal Medicine providers in Pinellas Park, FL