| Dr Lucian Kenneth Denicola, MD | |
|
800 Prudential Dr Fl 3, Ufjp Pediatric Critical Care, Jacksonville, FL 32207-8202 | |
| (904) 202-8758 | |
| (904) 306-9884 |
| Full Name | Dr Lucian Kenneth Denicola |
|---|---|
| Gender | Male |
| Speciality | Pediatrics - Pediatric Critical Care Medicine |
| Location | 800 Prudential Dr Fl 3, Jacksonville, Florida |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750359063 | NPI | - | NPPES |
| 000252458D | Medicaid | GA | |
| 810000707 | Other | FL | RAILROAD MEDICARE |
| 0669610-00 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | ME40505 (Florida) | Secondary |
| 2080P0203X | Pediatrics - Pediatric Critical Care Medicine | ME40505 (Florida) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Lucian Kenneth Denicola, MD Po Box 44008, Ufjp Provider Enrollment, Jacksonville, FL 32231-4008 Ph: () - | Dr Lucian Kenneth Denicola, MD 800 Prudential Dr Fl 3, Ufjp Pediatric Critical Care, Jacksonville, FL 32207-8202 Ph: (904) 202-8758 |
Dr. Maryam Ooja Abubakar, MD, MPH Pediatrics Medicare: Medicare Enrolled Practice Location: 655 W 8th St, Jacksonville, FL 32209 Phone: 904-244-3508 | |
Dr. Mohamad Alasad Tolaymat, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 820 Prudential Dr, Ufjp Pediatric Multi-specialty Clinic, Jacksonville, FL 32207 Phone: 904-633-0920 Fax: 904-633-0921 | |
Christopher Emanuel, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 3945 San Jose Park Dr, Jacksonville, FL 32217 Phone: 904-731-3530 Fax: 904-737-1548 | |
Bridget Sharrar, Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 12276 San Jose Blvd Ste 507, Jacksonville, FL 32223 Phone: 904-288-8910 Fax: 904-288-8912 | |
Kelly Marie Summers, ARNP Pediatrics Medicare: Medicare Enrolled Practice Location: 807 Childrens Way, Jacksonville, FL 32207 Phone: 904-697-3600 | |
Yekaterina Jones, D.O. Pediatrics Medicare: Medicare Enrolled Practice Location: 841 Prudential Dr Ste 1130, Jacksonville, FL 32207 Phone: 904-633-4199 Fax: 904-633-4188 | |
Dr. Ronald P Carzoli Jr., MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1800 Barrs St, St Vincent's Medical Center, Jacksonville, FL 32204 Phone: 904-308-7994 |