Healthcare Provider Details

I. General information

NPI: 1437230505
Provider Name (Legal Business Name): LUIS APONTE MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/17/2006
Last Update Date: 12/02/2025
Certification Date: 12/02/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

301 W PLATT ST # 30
TAMPA FL
33606-2292
US

IV. Provider business mailing address

PO BOX 4542
TAMPA FL
33677-4542
US

V. Phone/Fax

Practice location:
  • Phone: 813-489-6212
  • Fax: 813-489-6214
Mailing address:
  • Phone: 813-489-6212
  • Fax: 813-489-6214

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2086S0122X
TaxonomyPlastic and Reconstructive Surgery Physician
License Number96314
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: