Individual
JOSEPH NICHOLAS DELUCA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD, PHD
Contact information
Practice address
378 CENTER POINTE CIRCLE, SUITE 1280, ALTAMONTE SPRINGS, FL 32701-3442
(407) 862-5959
(407) 774-5573
Mailing address
378 CENTER POINTE CIRCLE, SUITE 1280, ALTAMONTE SPRINGS, FL 32701-3442
(407) 862-5959
(407) 774-5573
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
PY0003384
FL
208D00000X
General Practice Physician
ME0050155
FL
208D00000X
General Practice Physician
Primary
ME50155
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
046585200
—
FL
Enumeration date
08/14/2006
Last updated
03/27/2017
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