Lustgarten, Moises
Lustgarten, Moises is an individual health care provider with primary practice located at 8950 N Kendall Dr Ste 410W , Miami FL 33176-2127. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pain Medicine, Allopathic & Osteopathic Physicians / Interventional Pain Medicine. Allopathic & Osteopathic Physicians / Interventional Pain Medicine is his primary health care specialty. Lustgarten, Moises can be contacted via phone (786) 596-3876.Contact Information
Primary practice address
8950 N Kendall Dr Ste 410W
Miami FL 33176-2127
Phone: (786) 596-3876
Fax: (786) 533-9989
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pain Medicine | 207LP2900X | ME76936 | Florida |
| Allopathic & Osteopathic Physicians / Interventional Pain Medicine | 208VP0014X | ME76936 | Florida |
Profile Details
| NPI number | 1518947324 |
|---|---|
| LBN Legal business name | Lustgarten, Moises |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 18th, 2006 |
| Last updated | Jul 13th, 2022 - about 4 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 | 1518947324 | NPPES |
| Florida | Other | 58934 | BCBS |
| Florida | MEDICAID | 262047200 | BCBS |
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