Individual
DR. LOURDES ALTAGRACIA DULUC-PEREZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1100 CESERY BLVD, JACKSONVILLE, FL 32211-5674
(904) 551-5884
Mailing address
12171 SW 268TH ST, HOMESTEAD, FL 33032-8001
(939) 630-0106
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
11280
PR
208D00000X
General Practice Physician
Primary
ACN1235
FL
Other
Enumeration date
05/10/2007
Last updated
01/06/2021
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