| Luis F Anez Md Pa | |
|
9765 San Jose Blvd Ste 102 Jacksonville FL 32257-4402 | |
| (904) 260-5757 | |
| (904) 268-0733 |
| Full Name | Luis F Anez Md Pa |
|---|---|
| Speciality | Family Medicine |
| Location | 9765 San Jose Blvd, Jacksonville, Florida |
| Authorized Official Name and Position | Luis Fernando Anez (OWNER) |
| Authorized Official Contact | 9042605757 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Luis F Anez Md Pa 9765 San Jose Blvd Ste 102 Jacksonville FL 32257-4402 Ph: (904) 260-5757 | Luis F Anez Md Pa 9765 San Jose Blvd Ste 102 Jacksonville FL 32257-4402 Ph: (904) 260-5757 |
| NPI Number | 1538347380 |
|---|---|
| Provider Enumeration Date | 02/04/2008 |
| Last Update Date | 02/06/2008 |
| Medicare PECOS PAC ID | 8729011820 |
|---|---|
| Medicare Enrollment ID | O20050917000436 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538347380 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | ME66840 (Florida) | Primary |
| Provider Name | Luis F Anez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1598741118 PECOS PAC ID: 5092748103 Enrollment ID: I20050920000444 |
| Provider Name | Michael Hernandez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1609929405 PECOS PAC ID: 6406919638 Enrollment ID: I20090113000905 |
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