Lourdes Loreto Md Pa
Internal Medicine Physician in Tampa, FL(View on Map)
Legal Business Name
Lourdes Loreto Md Pa
NPI Number
1013108984
NPI Type
Organization
Enumeration Date
08/06/2007
Specialties
(Taxonomies)Licenses
State
Florida
License Number
ME29045
Contact
Information
Purpose
Mailing
Location
Address
4710 N HABANA AVE
4710 N HABANA AVE
City
Tampa
Tampa
State
FL
FL
Postal Code
33614
33614
Country
US
US
Telephone Number
(813) 877-3902
(813) 877-3902
Authorized Official
Name
Lourdes Loreto
Title or Position
PHYSICIAN
Telephone Number
(813) 877-3902
Identifiers
Identifier
057966100
29972
407112745
Identifier State
FL
FL
FL
Identifier Issuer
Unknown
BLUE CROSS BLUE SHIELD
RAILROAD MEDICARE
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 03/05/2008
Provider Address
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William F Mcgrogan Md Pllc
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