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Contact Information

LAURIE J DE LUCA, MD
7171 N DALE MABRY HWY
STE 404
TAMPA, FL33614-2665
 Phone: 813-932-1510
 Fax: 813-238-4378
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Undersea and Hyperbaric Medicine

207PE0005X 93 Physician/Emergency Medicine
 

Emergency Medicine

207P00000X 93 Physician/Emergency Medicine
Indicates primary specialty

NPI Profile & details for LAURIE J DE LUCA · (Female)

NPI # 1740235738
Status Active
Credentials MD
Entity Individual
Enumeration date 05/24/2006
Last updated 06/27/2012 - About 14 years ago
Sole proprietor 1 No
Identifiers
  • FL License # ME94019
  • FL Medicaid 273731100
  • FL Other 29406 BCBS OF FLORIDA
  • FL Other P01037262 RAILROAD MEDICARE ATTACHED TO GRP# DQ1103
Hospital affiliation(s)
  • MENORAH MEDICAL CENTER - (Acute Care)
    5721 WEST 119TH STREET
    OVERLAND PARK, KS 66209
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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