Provider Demographics
NPI:1093977001
Name:LLINAS MESSEGUER, JOSE EDUARDO (MD)
Entity Type:Individual
Prefix:DR
First Name:JOSE
Middle Name:EDUARDO
Last Name:LLINAS MESSEGUER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9679 LAKE NONA VILLAGE PL STE 101
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32827-7310
Mailing Address - Country:US
Mailing Address - Phone:407-277-9242
Mailing Address - Fax:407-636-7805
Practice Address - Street 1:9679 LAKE NONA VILLAGE PL STE 101
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32827-7310
Practice Address - Country:US
Practice Address - Phone:407-277-9242
Practice Address - Fax:407-636-7805
Is Sole Proprietor?:No
Enumeration Date:2008-06-30
Last Update Date:2020-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD446256207V00000X
PR18468207V00000X
FL126055207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL016284800Medicaid