Maximo Antonio Luque, MD | |
3001 W Dr Martin Luther King Jr Blvd, Tampa, FL 33607-6307 | |
(813) 870-4000 | |
Not Available |
Full Name | Maximo Antonio Luque |
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Gender | Male |
Speciality | Emergency Medicine |
Location | 3001 W Dr Martin Luther King Jr Blvd, Tampa, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1114963634 | NPI | - | NPPES |
221520 | Other | FL | AMERIGROUP |
041372100 | Medicaid | FL | |
30690 | Other | FL | BLUE CROSS OF FLORIDA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | ME40770 (Florida) | Primary |
Entity Name | Emergency Medical Associates Of Tampa Bay Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1023397817 PECOS PAC ID: 3678746674 Enrollment ID: O20111108000728 |
Mailing Address | Practice Location Address |
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Maximo Antonio Luque, MD Po Box 10030, Daytona Beach, FL 32120-0030 Ph: (386) 274-7800 | Maximo Antonio Luque, MD 3001 W Dr Martin Luther King Jr Blvd, Tampa, FL 33607-6307 Ph: (813) 870-4000 |
Jennifer Darlene Tiller, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 2727 W Dr Martin Luther King Jr Blvd, Suite 300, Tampa, FL 33607 Phone: 813-874-5707 | |
Habib H. Karkavandian, D.O. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 12187 W Linebaugh Ave, Tampa, FL 33626 Phone: 813-814-4900 | |
Kaivon Madani, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 2 Columbia Dr, J402, Tampa, FL 33606 Phone: 813-844-7412 | |
Dr. Paul Carl Prator, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 3100 E Fletcher Ave, Tampa, FL 33613 Phone: 813-971-6000 Fax: 813-615-7590 | |
Dr. Diana R Carbonero-camuzzi, D.O. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 2 Columbia Dr, Tampa, FL 33606 Phone: 813-844-7000 | |
Deborah Ml Repaskey, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1 Tampa General Cir, J402, Tampa, FL 33606 Phone: 813-844-7412 | |
Mr. Reginald Saint-hilaire, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1 Tampa General Cir, Tampa, FL 33606 Phone: 813-844-7000 |