Provider Demographics
NPI:1598741118
Name:ANEZ, LUIS F (MD)
Entity Type:Individual
Prefix:DR
First Name:LUIS
Middle Name:F
Last Name:ANEZ
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:9765 SAN JOSE BVLD
Mailing Address - Street 2:STE 102
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32257
Mailing Address - Country:US
Mailing Address - Phone:904-260-5757
Mailing Address - Fax:904-268-0733
Practice Address - Street 1:9765 SAN JOSE BLVD
Practice Address - Street 2:STE 102
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32257-4402
Practice Address - Country:US
Practice Address - Phone:904-260-5757
Practice Address - Fax:904-268-0733
Is Sole Proprietor?:Yes
Enumeration Date:2005-12-15
Last Update Date:2011-01-04
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Provider Licenses
StateLicense IDTaxonomies
FLME66840207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLF90021Medicare UPIN
K8398Medicare ID - Type Unspecified