Individual
BARBARA B LUBRANO DI CICCONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4500 SAN PABLO RD S, JACKSONVILLE, FL 32224-1865
(904) 953-2000
Mailing address
4500 SAN PABLO RD S, JACKSONVILLE, FL 32224-1865
(904) 953-2000
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
ME 100201
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11287
BLUE CROSS BLUE SHIELD
FL
05
—
280315100
—
FL
Enumeration date
01/28/2006
Last updated
02/07/2023
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