National Provider Identifier Database

J WAYNE DELUCIA DDS PA
Critical Access Hospital

An outpatient entity, facility, or distinct part of a facility within or affiliated with a Critical Access Hospital that provides access to primary care services for individuals in a small rural community and is Medicare certified.


Contact Information

J. WAYNE DELUCIA D.D.S., P.A.
14185 BEACH BLVD STE 2
JACKSONVILLE, FL32250-1574
Phone: 904-223-9999
Fax:
Website:
Specialty Taxonomy Code
* Critical Access Hospital 261QC0050X

* Indicates primary specialty

NPI Profile & details for J. WAYNE DELUCIA D.D.S., P.A.

NPI Number 1588788434
Legal business name
LBN
J. WAYNE DELUCIA D.D.S., P.A.
Authorized official JOSEPH DELUCIA - (PRESIDENT)
Entity Organization
Organization subpart No
Enumeration date 03/18/2007
Last updated 08/22/2020 - About 6 years ago
Sole proprietor1 Not specified
Identifiers
  • FL License #: DN7365

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.

Reviews for J. WAYNE DELUCIA D.D.S., P.A.

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