Gandara, Luis A

Gandara, Luis A is an individual health care provider with primary practice located at 701 Platinum Pt , Lake Mary FL 32746-4871. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, Allopathic & Osteopathic Physicians / Sports Medicine. Allopathic & Osteopathic Physicians / Sports Medicine is his primary health care specialty. Gandara, Luis A can be contacted via phone (407) 206-4500.

Contact Information

Primary practice address
701 Platinum Pt Lake Mary FL 32746-4871
Phone: (407) 206-4500
Fax: (407) 643-2802
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X MD 440572 Pennsylvania
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X 16675 Puerto Rico
Allopathic & Osteopathic Physicians / Sports Medicine 2081S0010X ME109856 Florida

Profile Details

NPI number 1407050404
LBN Legal business name Gandara, Luis A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 13th, 2007
Last updated Nov 4th, 2020 - about 6 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.

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