Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208100000X | Physical Medicine & Rehabilitation Doctor | 164348 | NY |
N | 208100000X | Physical Medicine & Rehabilitation Doctor | A46655 | CA |
Y | 2081S0010X | Sports Medicine | ME131442 | FL |
Y | 213ES0000X | Sports Medicine | ME131442 | FL |
NPI | 1184680084 |
---|---|
Provider Name | Dr. Luga Podesta |
First Address | Naples, FL 34109-0596 |
Second Address | Naples, FL 34109-0596 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 21/04/2006 |
Last Update Date | 03/02/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
D91943 | (02) | CA |