Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208200000X | Surgeon | ME94887 | FL |
Y | 208600000X | Surgeon | ME94887 | FL |
N | 208G00000X | Cardiothoracic Vascular Surgeon | ME94887 | FL |
NPI | 1043264708 |
---|---|
Provider Name | Dr. Louis I Astra |
First Address | Tarpon Springs, FL 34689-1952 |
Second Address | New Port Richey, FL 34655-5217 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/05/2006 |
Last Update Date | 22/11/2016 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
275458400 | (05) | FL |
H68586 | (02) | |
P00426237 | RAILROAD MEDICARE NUMBER (01) | FL |