| Lozano Internal Medicine Llc | |
|
320 State Road 60 E Ste 301 Lake Wales FL 33853-3750 | |
| (863) 678-1400 | |
| Not Available |
| Full Name | Lozano Internal Medicine Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 320 State Road 60 E, Lake Wales, Florida |
| Authorized Official Name and Position | Gilberto Lozano (OWNER - PROVIDER) |
| Authorized Official Contact | 8636781400 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lozano Internal Medicine Llc Po Box 919317 Orlando FL 32891-9317 Ph: () - | Lozano Internal Medicine Llc 320 State Road 60 E Ste 301 Lake Wales FL 33853-3750 Ph: (863) 678-1400 |
| NPI Number | 1669595757 |
|---|---|
| Provider Enumeration Date | 04/06/2007 |
| Last Update Date | 04/16/2010 |
| Medicare PECOS PAC ID | 6305931742 |
|---|---|
| Medicare Enrollment ID | O20071001000521 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669595757 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | ME84676 (Florida) | Primary |
| Provider Name | Gilberto A Lozano |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1558366732 PECOS PAC ID: 1557452273 Enrollment ID: I20070810000060 |
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