Organization
TIMOTHY LUCEY DO PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIMOTHY D LUCEY D.O. (MEDICAL DIRECTOR)
(904) 277-3311
Entity
Organization
Contact information
Practice address
1865 LIME ST, SUITE 103, FERNANDINA BEACH, FL 32034-4779
(904) 277-3311
(904) 277-3343
Mailing address
PO BOX 15718, FERNANDINA BEACH, FL 32035-3112
(904) 277-3311
(904) 277-3343
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
OS10412
FL
Other
Enumeration date
08/06/2008
Last updated
12/06/2016
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