Individual
JASON DELUCA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
13945 N US HIGHWAY 441, LADY LAKE, FL 32159-8924
(352) 277-3500
(352) 277-3498
Mailing address
5365 W ATLANTIC AVE, SUITE 504, DELRAY BEACH, FL 33484-8172
(561) 241-9300
(561) 241-9339
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
ME107250
FL
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
ME107250
FL
208VP0000X
Pain Medicine Physician
ME107250
FL
208VP0014X
Interventional Pain Medicine Physician
Primary
ME107250
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ME107250
FLORIDA LICENSE
FL
Enumeration date
05/14/2007
Last updated
01/28/2022
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