Jose Antonio Lusancarez
General Practice Physician Family Doctor - Addiction Medicine
1060 W 49th St
Hialeah
, Florida 33012-3322
Jose Antonio Lusancarez
General Practice Physician Family Doctor - Addiction Medicine
1060 W 49th St
Hialeah
, Florida 33012-3322
(813) 502-0290
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About
Features
Specialties
- Family Doctor - Addiction Medicine
- General Practice Physician
Languages spoken
- English
Location
First Address
- Jose Antonio Lusancarez
- 3832 W Humphrey St
- Tampa, FL
- Zip : 33614-1955
- Fax : (813) 502-0290
- Phone : (813) 440-4420
Second Address
- Jose Antonio Lusancarez
- 1060 W 49th St
- Hialeah, FL
- Zip : 33012-3322
- Phone : (844) 665-4827
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207QA0401X | Family Doctor - Addiction Medicine | ACN485 | FL |
| Y | 208D00000X | General Practice Physician | ACN485 | FL |
National Provider Identifier
| NPI | 1609180249 |
|---|---|
| Provider Name | Jose Antonio Lusancarez |
| First Address | Tampa, FL 33614-1955 |
| Second Address | Hialeah, FL 33012-3322 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 05/08/2010 |
| Last Update Date | 06/11/2019 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.