LUIS FERNANDO LAOS (NPI# 1407815525) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407815525 |
| Entity Type | Individual |
| Full Name | LUIS FERNANDO LAOS |
| Credential | MD |
| Practice Address |
1893 Kingsley Ave Suite C Orange Park FL 32073-4491 |
| Practice Telephone | 9042762044 |
| Practice Fax Number | 9042762106 |
| Mailing Telephone | 9042762044 |
| Mailing Fax Number | 9042762106 |
| Enumeration Date | 2006-03-18 |
| Last Update Date | 2012-01-23 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | ME70461 | FL | Allopathic & Osteopathic Physicians |
| N | 207RC0200X |
Internal Medicine Specialization: Critical Care Medicine |
ME70461 | FL | Allopathic & Osteopathic Physicians |
| Y | 207RP1001X |
Internal Medicine Specialization: Pulmonary Disease |
ME70461 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 000804185A | 05 | |
| FL | 2552507-00 | 05 | |
| FL | RAILROAD MEDICARE | 110181012 | 01 |
| Street Address |
1893 KINGSLEY AVE SUITE C |
| City | ORANGE PARK |
| State | FL |
| Zip Code | 32073-4491 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659373801 | Robert J Still | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1893 Kingsley Ave, Ste A, Orange Park, FL 32073 | 2005-06-01 |
| 1083107965 | Michael Rucker II | Physician Assistant | 1893 Kingsley Ave, Ste A, Orange Park, FL 32073 | 2018-06-14 |
| 1578736815 | Jennifer Ann Mccrea | Nurse Practitioner | 1893 Kingsley Ave, Suite C, Orange Park, FL 32073-4491 | 2008-04-08 |
| 1659561405 | Kristi L Christman | Physician Assistant | 1893 Kingsley Ave, Ste A, Orange Park, FL 32073 | 2007-07-27 |
| 1134279458 | Thomas J Schneider | Internal Medicine | 1893 Kingsley Ave, Suite C, Orange Park, FL 32073-4491 | 2007-01-11 |
| 1972513513 | Lawrence Ernest Coots | Internal Medicine | 1893 Kingsley Ave, Ste C, Orange Park, FL 32073-4491 | 2006-08-08 |
| 1568481224 | Stuart Z Millstone | Internal Medicine | 1893 Kingsley Ave, Ste C, Orange Park, FL 32073-4491 | 2006-07-19 |
| 1053330787 | Eugene H Mccoskey | Internal Medicine | 1893 Kingsley Ave, Suite C, Orange Park, FL 32073-4421 | 2006-07-19 |
| 1689692329 | Pulmonary and Critical Care Associates P A | Internal Medicine | 1893 Kingsley Ave, Suite C, Orange Park, FL 32073-4491 | 2006-07-18 |
| 1154398303 | Vitaly Piluiko | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1893 Kingsley Ave, Ste A, Orange Park, FL 32073 | 2006-03-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891309423 | Kingsley Endoscopy Center LLC | Clinic/Center | 970 Kingsley Avenue, Orange Park, FL 32073 | 2020-09-01 |
| 1962028688 | Esra Sari | Student in an Organized Health Care Education/Training Program | 2001 Kingsley Avenue., Orange Park Medical Center, Orange Park, FL 32073 | 2020-06-18 |
| 1104441146 | Zeshan Tariq Malik | Student in an Organized Health Care Education/Training Program | 2001 Kingsley Avenue, Office of Graduate Medical Educa, Orange Park, FL 32073 | 2020-06-16 |
| 1902421894 | Ameer Hamza | Student in an Organized Health Care Education/Training Program | 2001, Kingsley Avenue Office of Graduate Medical Educat, Orange Park, FL 32073 | 2020-06-16 |
| 1497378103 | Fawad Ahmed Rashid | Student in an Organized Health Care Education/Training Program | 2001 Kingsley Avenue Office of Graduate Medical Educati, Orange Park, FL 32073 | 2020-05-28 |
| 1477174985 | Hannan Asghar | Student in an Organized Health Care Education/Training Program | Office of Graduate Medical Education 2001 Kingsley, Orange Park, FL 32073 | 2020-05-06 |
| 1902427156 | Emmanuel Iyanuloluwa Morakinyo | Student in an Organized Health Care Education/Training Program | 413 Deer View Avenue, 2001 Kingsley Ave, Orange Park, FL 32073 | 2020-04-29 |
| 1437799327 | Dalande Leger | Behavior Technician | 1563 Kingsley Ave Suite 103, Orange Park, FL 32073 | 2020-01-08 |
| 1215598313 | Mohammad Harisullah Khan | Student in an Organized Health Care Education/Training Program | 2001 Kingsley Ave, Gme Office, Orange Park, FL 32073 | 2019-06-28 |
| 1558927970 | Preetha Kamath | Student in an Organized Health Care Education/Training Program | Orange Park Medical Center, 2001 Kingsley Ave, Orange Park, FL 32073 | 2019-05-10 |
| Find all providers in zip 32073 | ||||
| Taxonomy Code | 207RP1001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Pulmonary Disease |
| An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194732255 | Larry L Mattingly | Internal Medicine | 2233 Park Avenue, Ste 303, Orange Park, FL 32073 | 2006-08-02 |
| 1972525327 | Maria Antonio-miranda | Internal Medicine | 1409 Kingsley Avenue, Bldg 3b, Orange Park, FL 32073-4491 | 2006-07-24 |
| 1780071613 | Clay Pulmonary Services Pa | Internal Medicine | 1409 Kingsley Ave, Building 3b, Orange Park, FL 32073-4537 | 2015-04-17 |
| 1891981296 | Pulmonary and Critical Care Associates P A | Internal Medicine | 1689 Eagle Harbor Pkwy, Suite B, Orange Park, FL 32003-4802 | 2007-09-19 |
| 1134279458 | Thomas J Schneider | Internal Medicine | 1893 Kingsley Ave, Suite C, Orange Park, FL 32073-4491 | 2007-01-11 |
| 1972513513 | Lawrence Ernest Coots | Internal Medicine | 1893 Kingsley Ave, Ste C, Orange Park, FL 32073-4491 | 2006-08-08 |
| 1568481224 | Stuart Z Millstone | Internal Medicine | 1893 Kingsley Ave, Ste C, Orange Park, FL 32073-4491 | 2006-07-19 |
| 1689692329 | Pulmonary and Critical Care Associates P A | Internal Medicine | 1893 Kingsley Ave, Suite C, Orange Park, FL 32073-4491 | 2006-07-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619507431 | Tricounty Physicians, LLC | Internal Medicine | 1507 Buenos Aires Blvd Ste 102, The Villages, FL 32159-8974 | 2020-01-21 |
| 1104464262 | Naples Pulmonary LLC | Internal Medicine | 3021 Airport Pulling Rd N Ste 103, Naples, FL 34105-3077 | 2019-12-19 |
| 1245892611 | Blueapplecare, LLC. | Internal Medicine | 2625 Executive Park Dr Ste 101, Weston, FL 33331-3634 | 2019-07-05 |
| 1598321051 | South Broward Hospital District | Internal Medicine | 7369 Sheridan St Ste 302, Hollywood, FL 33024-2776 | 2019-05-10 |
| 1255800629 | Shiffa Medical Solutions LLC | Internal Medicine | 12144 Montalcino Circle, Windermere, FL 34780 | 2018-11-15 |
| 1538638853 | Arif Shakoor II LLC | Internal Medicine | 2257 Us Highway 441 N Ste C, Okeechobee, FL 34972-1943 | 2018-11-15 |
| 1396226304 | Adayiba Zamora | Internal Medicine | 10794 Pines Blvd Ste 205, Pembroke Pines, FL 33026-3920 | 2018-08-27 |
| 1366929465 | Ernesto E. Fonts, M.d, P.a. | Internal Medicine | 777 E 25th St Ste 512, Hialeah, FL 33013-3834 | 2018-07-23 |
| 1528552494 | Joseph C Daley IIi Md Fccp LLC | Internal Medicine | 1031 Se 9th Pl Unit 2, Cape Coral, FL 33990-3003 | 2018-06-14 |
| 1992200158 | James Lucio Md, Pa | Internal Medicine | 12627 Butler Bay Ct, Windermere, FL 34786-6102 | 2018-03-28 |
| Find all providers with the same taxonomy | ||||
| City | ORANGE PARK |
| Zip Code | 32073 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.