Provider Demographics
NPI:1558302638
Name:TAMI, LUIS F (MD)
Entity Type:Individual
Prefix:DR
First Name:LUIS
Middle Name:F
Last Name:TAMI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:10436 CANTERBURY CT
Mailing Address - Street 2:
Mailing Address - City:DAVIE
Mailing Address - State:FL
Mailing Address - Zip Code:33328-1335
Mailing Address - Country:US
Mailing Address - Phone:954-362-3426
Mailing Address - Fax:954-362-3432
Practice Address - Street 1:1150 N 35TH AVE
Practice Address - Street 2:SUITE 240
Practice Address - City:HOLLYWOOD
Practice Address - State:FL
Practice Address - Zip Code:33021-5424
Practice Address - Country:US
Practice Address - Phone:954-362-3426
Practice Address - Fax:954-362-3432
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-09
Last Update Date:2019-02-19
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FLME69391207RI0011X
FLME 69391207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
No207RI0011XAllopathic & Osteopathic PhysiciansInternal MedicineInterventional Cardiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL379575600Medicaid
FL379575600Medicaid
FL28297RMedicare PIN