MEDICARE: DR. AMILCAR M LOMINCHAR M.D

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
1	208D00000X	General Practice Physician	13724-I	PR
2	208D00000X	General Practice Physician	ACN869	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	ACN869	OTHER	FL	MEDICAL LICENSE
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1881085827
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. AMILCAR M LOMINCHAR M.D

Provider Business Mailing Address
First Line	:	3832 W HUMPHREY ST
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33614-1955
Country	:	US
Telephone Number	:	813-440-4420
Fax Number	:	813-502-0290

Provider Business Practice Location Address
First Line	:	3832 W HUMPHREY ST
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33614-1955
Country	:	US
Telephone Number	:	813-440-4420
Fax Number	:	813-502-0290

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/12/2015
Last Update Date	:	06/05/2023

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