Dr Eugene R Delucia Iii, DO | |
4543 S Manhattan Ave, Suite 102, Tampa, FL 33611-2330 | |
(813) 837-2461 | |
(813) 835-1731 |
Full Name | Dr Eugene R Delucia Iii |
---|---|
Gender | Male |
Speciality | Physical Medicine & Rehabilitation |
Location | 4543 S Manhattan Ave, Tampa, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1669423141 | NPI | - | NPPES |
057019200 | Medicaid | FL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | OS3780 (Florida) | Secondary |
208100000X | Physical Medicine & Rehabilitation | OS3780 (Florida) | Primary |
Entity Name | Florida Family Medical Centers Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1952579344 PECOS PAC ID: 0042335705 Enrollment ID: O20100917000758 |
Entity Name | Wellspring Health Orlando Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1760930325 PECOS PAC ID: 5193093490 Enrollment ID: O20170608002775 |
Entity Name | Wellspring Health Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1881185494 PECOS PAC ID: 1153679360 Enrollment ID: O20180803002749 |
Mailing Address | Practice Location Address |
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Dr Eugene R Delucia Iii, DO 4543 S Manhattan Ave, Suite 102, Tampa, FL 33611-2330 Ph: (813) 837-2461 | Dr Eugene R Delucia Iii, DO 4543 S Manhattan Ave, Suite 102, Tampa, FL 33611-2330 Ph: (813) 837-2461 |
Jordan Lee Huffman, PT, DPT Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 3250 Zemke Ave Bldg 1078, Tampa, FL 33621 Phone: 813-827-9390 | |
Kareem Qaisi, DO Physical Medicine & Rehabilitation Medicare: Medicare Enrolled Practice Location: 625 E Twiggs St Ste 103, Tampa, FL 33602 Phone: 813-228-7696 Fax: 813-228-0677 | |
Mrs. Diane D Zhao, MD Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 14509 University Point Pl, Tampa, FL 33613 Phone: 813-910-1606 Fax: 813-866-4919 | |
Mr. Colin W Fitzgerald, Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 9724 N Armenia Ave, Suite 100, Tampa, FL 33612 Phone: 813-915-8666 | |
Dr. Sheryce Marie Andrews, M.D. Physical Medicine & Rehabilitation Medicare: Medicare Enrolled Practice Location: 2914 N Boulevard, Tampa, FL 33602 Phone: 813-228-7696 Fax: 813-228-0677 | |
Jessica Bergin, ATC, LAT Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 401 W Kennedy Blvd # I, Tampa, FL 33606 Phone: 813-253-6264 | |
Daniel Leary, DO Physical Medicine & Rehabilitation Medicare: May Accept Medicare Assignments Practice Location: 625 E Twiggs St Ste 103, Tampa, FL 33602 Phone: 813-228-7696 |