Individual
DR. EUGENE R DELUCIA III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
4543 S MANHATTAN AVE, SUITE 102, TAMPA, FL 33611-2330
(813) 837-2461
(813) 835-1731
Mailing address
4543 S MANHATTAN AVE, SUITE 102, TAMPA, FL 33611-2330
(813) 837-2461
(813) 835-1731
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
OS3780
FL
208100000X
Physical Medicine & Rehabilitation Physician
Primary
OS3780
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
057019200
—
FL
Enumeration date
05/12/2006
Last updated
01/02/2020
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