Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208000000X | Pediatrician | ME75361 | FL |
N | 208000000X | Pediatrician | N2291 | TX |
N | 2080P0201X | Pediatric Allergist | N2291 | TX |
N | 2080P0210X | Pediatric Nephrologist | 75361 | FL |
NPI | 1285604025 |
---|---|
Provider Name | Luis Fernando Seguias |
First Address | Gainesville, FL 32610-0296 |
Second Address | Gainesville, FL 32610-0296 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 24/01/2006 |
Last Update Date | 29/09/2016 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
018204800 | (05) | FL |