James N Luckett Jr Md Pa | |
2020 E Oakland Park Blvd Ft Lauderdale FL 33306-1106 | |
(954) 566-2160 | |
(954) 566-2180 |
Full Name | James N Luckett Jr Md Pa |
---|---|
Speciality | Internal Medicine |
Location | 2020 E Oakland Park Blvd, Ft Lauderdale, Florida |
Authorized Official Name and Position | James N Luckett (OWNER) |
Authorized Official Contact | 9545662160 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
James N Luckett Jr Md Pa 2020 E Oakland Park Blvd Fort Lauderdale FL 33306-1106 Ph: (954) 566-2160 | James N Luckett Jr Md Pa 2020 E Oakland Park Blvd Ft Lauderdale FL 33306-1106 Ph: (954) 566-2160 |
NPI Number | 1811175144 |
---|---|
Provider Enumeration Date | 02/08/2008 |
Last Update Date | 06/25/2008 |
Medicare PECOS PAC ID | 2860571775 |
---|---|
Medicare Enrollment ID | O20080505000123 |
Identifier | Type | State | Issuer |
---|---|---|---|
1811175144 | NPI | - | NPPES |
257552300 | Medicaid | FL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | ME78115 (Florida) | Primary |
Provider Name | James N Luckett |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1114938495 PECOS PAC ID: 3375523228 Enrollment ID: I20040722000219 |
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