Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207QA0505X | Family Doctor - Adult Medicine | OS9109 | FL |
NPI | 1225086531 |
---|---|
Provider Name | Dr. Luis A Saenz |
First Address | Champions Gate, FL 33896-8310 |
Second Address | Fort Lauderdale, FL 33301-1851 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/05/2006 |
Last Update Date | 26/07/2016 |