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Contact Information

LOURDES LORETO MD PA
4710 N HABANA AVE
202
TAMPA, FL33614
 Phone: 813-877-3902
 Fax: 813-877-3807
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Internal Medicine

207R00000X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for LOURDES LORETO MD PA · (Female)

NPI # 1013108984
Status Active
Credentials
Entity Individual
Enumeration date 08/06/2007
Last updated 03/05/2008 - About 18 years ago
Sole proprietor 1 Not specified
Identifiers
  • FL License # ME29045
  • FL Medicaid 057966100
  • FL Other 29972 BLUE CROSS BLUE SHIELD
  • FL Other 407112745 RAILROAD MEDICARE
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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