Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207RH0000X | Hematologist | ME70875 | FL |
N | 207RH0003X | Hematology & Oncology | ME70875 | FL |
Y | 207RX0202X | Medical Oncology | ME70875 | FL |
NPI | 1336130046 |
---|---|
Provider Name | Dr. Luis Chu |
First Address | Fort Myers, FL 33916-2216 |
Second Address | Sarasota, FL 34236-6908 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/11/2005 |
Last Update Date | 06/11/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
070250100 | (05) | FL |
G29432 | (02) | FL |