# ANTHONY N DE LUCA JR.

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1801192935
- **Gender:** Man
- **Credential:** PA-C

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2255A2300X | Athletic Trainer | — | — | — |
| 363A00000X | Physician Assistant | 9111548 | FL | Yes |

## Other

- **Enumeration date:** 02/08/2011
- **Last updated:** 09/02/2020