Provider Demographics
NPI:1548050610
Name:GULF L&D PROFESSIONALS
Entity type:Organization
Organization Name:GULF L&D PROFESSIONALS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FNP
Authorized Official - Prefix:
Authorized Official - First Name:LUIS
Authorized Official - Middle Name:FELIX
Authorized Official - Last Name:HERNANDEZ SOLER
Authorized Official - Suffix:
Authorized Official - Credentials:ARNP
Authorized Official - Phone:502-442-1150
Mailing Address - Street 1:3110 W LEROY ST
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33607-1124
Mailing Address - Country:US
Mailing Address - Phone:502-442-1150
Mailing Address - Fax:
Practice Address - Street 1:3110 W LEROY ST
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33607-1124
Practice Address - Country:US
Practice Address - Phone:502-442-1150
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-05-10
Last Update Date:2025-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care