Lourdes Loreto Md Pa

NPI 1013108984 - Internal Medicine - 207R00000X

NPI Details
NPI 1013108984
Enumeration Date 08/06/2007
Last Updated 03/05/2008
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name LOURDES LOURDES
Position PHYSICIAN
Phone (813) 877-3902
Fax (813) 877-3807
Practice Location
4710 N HABANA AVE
202
TAMPA FL, 33614, US
Phone (813) 877-3902
Fax (813) 877-3807
Business Location
4710 N HABANA AVE
202
TAMPA FL, 33614, US
Phone (813) 877-3902
Fax (813) 877-3807
Toxanomy
Taxonomy Code 207R00000X
License State Florida
License Number ME29045
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According to our database, Lourdes Loreto Md Pa NPI is 1013108984, taxonomy code is 207R00000X and license number is ME29045, license state is located at Florida. Lourdes Loreto Md Pa physically located at 4710 N Habana Ave, Tampa FL, 33614. NPI Number 1033115704 has the healthcare provider type.

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1013108984 NPI number is provided on an as is basis without warranty of any kind. 1013108984 is maintained by the National Plan & Provider Enumeration System. The contents of Lourdes Loreto Md Pa are for informational purposes only.