# EUGENE R.DELUCIA III,D.O.,P.A.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1043499593
- **Authorized official:** MR. EUGENE R DELUCIA III D.O. (PRESIDENT)
- **Authorized official phone:** (813) 837-2461

## Contact information

- **Practice address:** 4543 S MANHATTAN AVE, SUITE 102, TAMPA, FL 33611-2330
- **Practice address phone:** (813) 837-2461
- **Practice address fax:** (813) 835-1731
- **Mailing address:** 4543 S MANHATTAN AVE, SUITE 102, TAMPA, FL 33611
- **Mailing address phone:** (813) 837-2461
- **Mailing address fax:** (813) 835-1731

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | OS0003780 | FL | Yes |

## Other

- **Enumeration date:** 11/01/2007
- **Last updated:** 11/01/2007