Individual
DARLENE BARTILUCCI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3101 UNIVERSITY BLVD S STE 102, JACKSONVILLE, FL 32216-2750
(904) 737-1171
(904) 721-4022
Mailing address
PO BOX 746638, ATLANTA, GA 30374-6638
(904) 202-2092
(904) 376-4075
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
ME76254
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
080182343
RR MEDICARE
FL
05
—
2554836-00
—
FL
Enumeration date
12/26/2005
Last updated
11/18/2024
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