Organization
CRISTINA LUCIANO M D P A
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CRISTINA LUCIANO M.D. (OWNER)
(904) 349-6344
Entity
Organization
Contact information
Practice address
2 NORTH PAVILION PLACE, PENNEY FARMS, FL 32079-9207
(904) 349-6344
Mailing address
PO BOX 1004, ORANGE PARK, FL 32067-1004
(904) 349-6344
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
ME74563
FL
Other
Enumeration date
01/23/2008
Last updated
07/19/2023
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