Organization
J. WAYNE DELUCIA D.D.S., P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSEPH WAYNE DELUCIA D.D.S. (PRESIDENT)
(904) 223-9999
Entity
Organization
Contact information
Practice address
14185 BEACH BLVD STE 2, JACKSONVILLE, FL 32250-1574
(904) 223-9999
Mailing address
14185 BEACH BLVD STE 2, JACKSONVILLE, FL 32250-1574
(904) 223-9999
Taxonomy
Speciality
Code
Description
License number
State
261QC0050X
Critical Access Hospital Clinic/Center
Primary
DN7365
FL
Other
Enumeration date
03/18/2007
Last updated
08/22/2020
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