LUIS DE JESUS

TAMPA, FL
NPI1427574995
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy367H00000X Anesthesiologist Assistant
(Licence: FL  AA414)
Enumeration Date2017-08-16
Last Update Date2024-01-18
Business Address
LUIS DE JESUS CAA
3001 W DR MLK BLVD
TAMPA, FL 33607-6307
Phone number: 813-870-4000
Mailing Address
LUIS DE JESUS CAA
2995 DREW ST
CLEARWATER, FL 33759-3012
Phone number: 727-315-7496
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