| Dr Jose A Luis, MD | |
|
1005 Mar Walt Dr, Fort Walton Beach, FL 32547-6707 | |
| (850) 863-8203 | |
| (850) 863-8118 |
| Full Name | Dr Jose A Luis |
|---|---|
| Gender | Male |
| Speciality | Pediatrics |
| Location | 1005 Mar Walt Dr, Fort Walton Beach, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730272410 | NPI | - | NPPES |
| 131254300 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | ME164204 (Florida) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Jose A Luis, MD 1005 Mar Walt Dr, Fort Walton Beach, FL 32547-6707 Ph: (850) 863-8100 | Dr Jose A Luis, MD 1005 Mar Walt Dr, Fort Walton Beach, FL 32547-6707 Ph: (850) 863-8203 |
Aimee Pooneh Vafaie, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1000 Mar Walt Dr, Fort Walton Beach, FL 32547 Phone: 214-676-1531 | |
Dr. Douglas Winston Rigby, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1005 Mar Walt Drive, Pediatric Department, Fort Walton Beach, FL 32547 Phone: 850-863-8203 Fax: 850-862-0977 | |
Dr. Lawrence P King, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1005 Mar Walt Dr, Pediatric Department, Fort Walton Beach, FL 32547 Phone: 850-863-8203 Fax: 850-862-0977 | |
Rachel L Couch, ARNP Pediatrics Medicare: Medicare Enrolled Practice Location: 1005 Mar Walt Dr, Fort Walton Beach, FL 32547 Phone: 850-863-8203 Fax: 850-863-8203 | |
John Gerald Chiles, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1005 Mar Walt Drive, Pediatrics, Fort Walton Beach, FL 32547 Phone: 850-863-8203 Fax: 850-863-8113 | |
Dr. Keith Michael Krist, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1005 Mar Walt Drive, Pediatric Department, Fort Walton Beach, FL 32547 Phone: 850-863-8203 Fax: 850-862-0977 |