| Luis Duharte And Associates Md Llc | |
|
4409 Sun N Lake Blvd Suite G Sebring FL 33872-2170 | |
| (863) 314-0004 | |
| (863) 314-0944 |
| Full Name | Luis Duharte And Associates Md Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 4409 Sun N Lake Blvd, Sebring, Florida |
| Authorized Official Name and Position | Luis A Duharte Vidaurre (MGR) |
| Authorized Official Contact | 8633140004 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Luis Duharte And Associates Md Llc 4409 Sun N Lake Blvd Suite G Sebring FL 33872-2170 Ph: (863) 314-0004 | Luis Duharte And Associates Md Llc 4409 Sun N Lake Blvd Suite G Sebring FL 33872-2170 Ph: (863) 314-0004 |
| NPI Number | 1194159749 |
|---|---|
| Provider Enumeration Date | 08/29/2013 |
| Last Update Date | 08/29/2013 |
| Medicare PECOS PAC ID | 6507090552 |
|---|---|
| Medicare Enrollment ID | O20131008000126 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194159749 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RI0200X | Internal Medicine - Infectious Disease | ME95160 (Florida) | Primary |
| Provider Name | Luis A Duharte Vidaurre |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1225076797 PECOS PAC ID: 9830102763 Enrollment ID: I20060719000248 |
| Provider Name | Bayani Oliver Marasigan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417641911 PECOS PAC ID: 2769841840 Enrollment ID: I20230707000985 |
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