Jose Luis Lizardi in Jacksonville - Medical
Jose Luis Lizardi - NPI 1710959622
Jose Luis Lizardi is a Medical in Jacksonville, Florida. Jose Luis Lizardi practices all healthcare services and medical treatments related to Medical. The NPI Number for Jose Luis Lizardi is 1710959622. The last update date is 2021-09-28.
Jose Luis Lizardi's current location address is Po Box 44008, Jacksonville, Florida. You can contact this provider via phone number 9042443199 and fax number 9042443425. The mailing address for Jose Luis Lizardi is Po Box 44008, Jacksonville, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jose Luis Lizardi |
|---|---|
| Address | Po Box 44008, Jacksonville, Florida |
| Phone Number | 9042443199 |
| Fax Number | 9042443425 |
| Sole Proprietor | N |
| Credentials | PA-C |
NPI Number Detail
| NPI Number | 1710959622 |
|---|---|
| Provider Enumeration Date | 2006-02-03 |
| Last Updated Date | 2021-09-28 |
Provider Mailing Address Detail
| Address | Po Box 44008 |
|---|---|
| City | Jacksonville |
| State | Florida (FL) |
| Post Code | 322314008 |
| Phone Number | 9042443199 |
| Fax Number | 9042443425 |
Provider's Primary Taxonomy Detail
| Speciality | Medical |
|---|---|
| Taxonomy | 363Am0700X |
| Licence No | PA3731 |
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Definition: A licensed healthcare professional who practices medicine under physician supervision focusing on medical diagnoses and treatment. |
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What is the unique 10-digit identification code issued to Jose Luis Lizardi by the Centers for Medicare & Medicaid Services?
The Jose Luis Lizardi has been assigned the NPI (National Provider Identifier) 1710959622 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you share the physical location details of Jose Luis Lizardi?
The Jose Luis Lizardi is situated at Po Box 44008, in the city of Jacksonville, state of FL, with the zip code 322314008.
What is the Jose Luis Lizardi's area of specialization and corresponding taxonomy classification?
The Jose Luis Lizardi's specialty field is Medical, and it falls under the taxonomy code 363Am0700X, which categorizes healthcare providers based on their specialties.
When did Jose Luis Lizardi receive its 1710959622 assignment?
The Jose Luis Lizardi was assigned its 1710959622 on 2006-02-03, which is the date when this unique identifier was issued to the organization.
As of what date were the details related to Jose Luis Lizardi most recently updated or revised?
The information pertaining to Jose Luis Lizardi, including its address, specialty, and other relevant details, was last updated or revised on 2021-09-28.