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NPI Code Detail

MEDICARE: DR. LUZMARY ALLEN D.O

MEDICARE: DR. LUZMARY ALLEN D.O
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207R00000XInternal Medicine PhysicianMB59483NJ

General Provider Information

NPI Number : 1619951506
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. LUZMARY ALLEN D.O
Provider Business Mailing Address
First Line : 1208 SW 49TH TERRACE
Second Line :
City : CAPE CORAL
State : FL
Zip : 33914-5422
Country : US
Telephone Number : 732-616-3251
Fax Number :
Provider Business Practice Location Address
First Line : 2489 DIPLOMAT PKWY E
Second Line : DEPARTMENT OF VERERANS AFFAIRS - JAMES J. HOWARD CBOC
City : CAPE CORAL
State : FL
Zip : 33909-5422
Country : US
Telephone Number : 239-652-1800
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/04/2005
Last Update Date : 08/05/2016

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