| Louis Aviles Md Pl | |
|
1007 Jeffords St Suite 102 Clearwater FL 33756-4082 | |
| (727) 447-9000 | |
| (727) 447-9255 |
| Full Name | Louis Aviles Md Pl |
|---|---|
| Speciality | Internal Medicine |
| Location | 1007 Jeffords St, Clearwater, Florida |
| Authorized Official Name and Position | Louis Aviles (PHYSICIAN) |
| Authorized Official Contact | 7274479000 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Louis Aviles Md Pl 1007 Jeffords St Suite 102 Clearwater FL 33756-4082 Ph: (727) 447-9000 | Louis Aviles Md Pl 1007 Jeffords St Suite 102 Clearwater FL 33756-4082 Ph: (727) 447-9000 |
| NPI Number | 1235268368 |
|---|---|
| Provider Enumeration Date | 03/05/2007 |
| Last Update Date | 09/26/2007 |
| Medicare PECOS PAC ID | 7416980289 |
|---|---|
| Medicare Enrollment ID | O20050913000296 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235268368 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | ME 65404 (Florida) | Primary |
| Provider Name | Louis Aviles |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1265492730 PECOS PAC ID: 6305810771 Enrollment ID: I20050713000384 |
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