Vaca, Luis
Vaca, Luis is an individual health care provider with primary practice located at 1623 Sw 1St Ave , Ocala FL 34471-6528. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Neuroradiology, Allopathic & Osteopathic Physicians / Diagnostic Radiology, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Neuroradiology is his primary health care specialty. Vaca, Luis can be contacted via phone (352) 401-8817.Contact Information
Primary practice address
1623 Sw 1St Ave
Ocala FL 34471-6528
Phone: (352) 401-8817
Fax: (352) 401-8822
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Neuroradiology | 2085N0700X | 2013040411 | Missouri |
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | Q1044 | Texas |
| Allopathic & Osteopathic Physicians / Neuroradiology | 2085N0700X | ME138226 | Florida |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | EC071074 | Maine |
Profile Details
| NPI number | 1407055114 |
|---|---|
| LBN Legal business name | Vaca, Luis |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 12th, 2007 |
| Last updated | Jan 30th, 2024 - about 2 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 | 1407055114 | NPPES |
| Missouri | MEDICAID | 200124410 |
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