Organization
JODI J DE LUCA PHD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JODI J DE LUCA PHD (OWNER)
(813) 920-9590
Entity
Organization
Contact information
Practice address
12167 W LINEBAUGH AVE, TAMPA, FL 33626-1732
(813) 386-6800
(813) 891-1311
Mailing address
16018 SHINNECOCK DR, ODESSA, FL 33556-5717
(813) 920-9590
(813) 749-0484
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PY7169
FL
Other
Enumeration date
07/29/2008
Last updated
07/29/2008
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