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Organization

GEORGE R LUCK M D P A

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. GEORGE R LUCK MD PA (PRESIDENT)
(954) 426-8840
Entity
Organization

Contact information

Practice address
800 MEADOWS RD, BOCA RATON, FL 33486-2304
(561) 395-7100
Mailing address
40 NE 2ND AVE, DEERFIELD BEACH, FL 33441-3504
(954) 426-8840
(954) 426-6641

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
ME0054460
FL
207LP2900X
Pain Medicine (Anesthesiology) Physician
ME0054460
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
263024900
FL
Enumeration date
11/03/2006
Last updated
10/21/2008
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