Individual
ANGELA KATE LUCAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7901 BAYMEADOWS WAY STE 5, JACKSONVILLE, FL 32256-8535
(904) 414-3796
Mailing address
7901 BAYMEADOWS WAY STE 5, JACKSONVILLE, FL 32256-8535
(917) 683-8266
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
40332
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
40332
FLORIDA DEPARTMENT OF HEALTH
FL
Enumeration date
07/06/2023
Last updated
07/06/2023
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