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Organization

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

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. EUGENE R DELUCIA III D.O. (PRESIDENT)
(813) 837-2461
Entity
Organization

Contact information

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

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
OS0003780
FL

Other

Enumeration date
11/01/2007
Last updated
11/01/2007
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