# J. WAYNE DELUCIA D.D.S., P.A.

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

## Provider details

- **NPI number:** 1588788434
- **Authorized official:** DR. JOSEPH WAYNE DELUCIA D.D.S. (PRESIDENT)
- **Authorized official phone:** (904) 223-9999

## Contact information

- **Practice address:** 14185 BEACH BLVD STE 2, JACKSONVILLE, FL 32250-1574
- **Practice address phone:** (904) 223-9999
- **Mailing address:** 14185 BEACH BLVD STE 2, JACKSONVILLE, FL 32250-1574
- **Mailing address phone:** (904) 223-9999

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QC0050X | Critical Access Hospital Clinic/Center | DN7365 | FL | Yes |

## Other

- **Enumeration date:** 03/18/2007
- **Last updated:** 08/22/2020