Organization
GEORGE R LUCK M D P A
Active
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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