Provider Demographics
NPI:1750338018
Name:GINART, LUIS A (MD)
Entity type:Individual
Prefix:DR
First Name:LUIS
Middle Name:A
Last Name:GINART
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:1630 SW 96TH AVE
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33165-7630
Mailing Address - Country:US
Mailing Address - Phone:305-480-8614
Mailing Address - Fax:
Practice Address - Street 1:345 S. CONGRESS AVENUE
Practice Address - Street 2:ANNEX BUILDING
Practice Address - City:WEST PALM BEAC
Practice Address - State:FL
Practice Address - Zip Code:33401-5107
Practice Address - Country:US
Practice Address - Phone:561-274-3100
Practice Address - Fax:561-837-5332
Is Sole Proprietor?:No
Enumeration Date:2006-05-30
Last Update Date:2014-10-28
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PR10144208D00000X
FLACN133208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
PRG41787Medicare UPIN