Individual
DR. JAMES ANTHONY LUCIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1121 N CENTRAL AVE, SUITE B, KISSIMMEE, FL 34741-4405
(407) 933-1221
(407) 933-0747
Mailing address
1121 N CENTRAL AVE, SUITE B, KISSIMMEE, FL 34741-4405
(407) 933-1221
(407) 933-0747
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
ME54610
FL
207RP1001X
Pulmonary Disease Physician
ME54610
FL
207RS0012X
Sleep Medicine (Internal Medicine) Physician
ME54610
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
103380
AVMED PROVIDER ID
FL
01
—
12472
BLUE CROSS BLUE SHIELD
FL
05
—
372186800
—
FL
01
—
3816548001
CIGNA PROVIDER ID
FL
01
—
4323220
AETNA PROVIDER ID
FL
01
—
4800797
UHC PROVIDER ID
FM
Enumeration date
04/18/2006
Last updated
10/12/2020
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