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Lucilo Alexi Morejon Guedes

General Practice

Allopathic & Osteopathic Physicians

3978 W Hillsborough Ave Unit 21b, Tampa, FL 33614-5628

PECOS Enrollment

This provider is enrolled in PECOS as LUCILO MOREJON GUEDES.

Based on the most recent information from CMS, provider Lucilo Alexi Morejon Guedes is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records yesterday at 11:47 AM.

Profile Details

Provider ID
1568036234
Provider Type
Individual
Full Name
Morejon Guedes, Lucilo Alexi
Credential
MD

Gender
Male
Sole Proprietor
No
Enumeration Date
5/18/2021
Last Updated
9/20/2023

Contact Information

Practice Location

3978 W Hillsborough Ave Unit 21b, Tampa, FL 33614-5628

(813) 906-1412

(813) 413-1971

Mailing Location

6100 Blue Lagoon Dr Ste 365, Miami, FL 33126-7010

(786) 322-7333

(786) 322-7329

Provider Taxonomies

Code	Description	License
Code 208D00000X Primary	Description General Practice Allopathic & Osteopathic Physicians	License ACN1492 Florida

Provider Identifiers

ID	Description	Issuer
ID 116038800	Description Medicaid	Issuer Unlisted Florida

Lucilo Alexi Morejon Guedes

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Provider Identifiers

ID

Description

Issuer

ID

Description

Issuer

Henson, Gwendolyn Young

Cruz Repollet, Ivan Ariel

Collazo, Sergio

Diaz, Jorge B

Meditech Medical Centers, Llc

Casta, Mayra M.

Fl Wound Care Medical Group

Morris, Robert John

North Park Medical Center

Sanchez Ojeda, Jose M