Provider Demographics
NPI:1700875549
Name:PAGES, LUZ (MD)
Entity Type:Individual
Prefix:
First Name:LUZ
Middle Name:
Last Name:PAGES
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:900 S PINE ISLAND RD
Mailing Address - Street 2:SUITE 800
Mailing Address - City:PLANTATION
Mailing Address - State:FL
Mailing Address - Zip Code:33324-3920
Mailing Address - Country:US
Mailing Address - Phone:305-532-3378
Mailing Address - Fax:305-532-1164
Practice Address - Street 1:4308 ALTON RD
Practice Address - Street 2:SUITE 910
Practice Address - City:MIAMI BEACH
Practice Address - State:FL
Practice Address - Zip Code:33140-4556
Practice Address - Country:US
Practice Address - Phone:305-532-3378
Practice Address - Fax:305-532-1164
Is Sole Proprietor?:Yes
Enumeration Date:2005-10-14
Last Update Date:2013-10-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FLME75541208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL254944100Medicaid