Chavarriaga, Luis Felipe
Chavarriaga, Luis Felipe is an individual health care provider with primary practice located at 3003 W Dr Martin Luther King Jr Blvd Fl 2 , Tampa FL 33607. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Vascular Surgery, Student, Health Care / Student in an Organized Health Care Education/Training Program. Allopathic & Osteopathic Physicians / Vascular Surgery is his primary health care specialty. Chavarriaga, Luis Felipe can be contacted via phone (813) 554-8135.Contact Information
Primary practice address
3003 W Dr Martin Luther King Jr Blvd Fl 2
Tampa FL 33607
Phone: (813) 554-8135
Fax: (813) 605-6098
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Vascular Surgery | 2086S0129X | ME117008 | Florida |
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | 001417 | Georgia |
Profile Details
| NPI number | 1548445752 |
|---|---|
| LBN Legal business name | Chavarriaga, Luis Felipe |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 7th, 2008 |
| Last updated | Mar 30th, 2022 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1548445752 | NPPES |
| Florida | MEDICAID | 009579500 |
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