Timothy Lucey Do Pllc | |
1865 Lime St Suite 103 Fernandina Beach FL 32034-4779 | |
(904) 277-3311 | |
(904) 277-3343 |
Full Name | Timothy Lucey Do Pllc |
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Speciality | Psychiatry & Neurology - Neurology |
Location | 1865 Lime St, Fernandina Beach, Florida |
Authorized Official Name and Position | Timothy D Lucey (MEDICAL DIRECTOR) |
Authorized Official Contact | 9042773311 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Timothy Lucey Do Pllc Po Box 15718 Fernandina Beach FL 32035-3112 Ph: (904) 277-3311 | Timothy Lucey Do Pllc 1865 Lime St Suite 103 Fernandina Beach FL 32034-4779 Ph: (904) 277-3311 |
NPI Number | 1477719656 |
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Provider Enumeration Date | 08/06/2008 |
Last Update Date | 12/06/2016 |
Identifier | Type | State | Issuer |
---|---|---|---|
1477719656 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084N0400X | Psychiatry & Neurology - Neurology | OS10412 (Florida) | Primary |
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