Luzcare Medical Services Llc | |
175 Toney Penna Dr Ste 201 Jupiter FL 33458-5747 | |
(954) 612-6228 | |
Not Available |
Full Name | Luzcare Medical Services Llc |
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Speciality | Family Medicine |
Location | 175 Toney Penna Dr Ste 201, Jupiter, Florida |
Authorized Official Name and Position | Danielle Lucien (OWNER) |
Authorized Official Contact | 9546126228 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Luzcare Medical Services Llc 175 Toney Penna Dr Ste 201 Jupiter FL 33458-5747 Ph: (954) 612-6228 | Luzcare Medical Services Llc 175 Toney Penna Dr Ste 201 Jupiter FL 33458-5747 Ph: (954) 612-6228 |
NPI Number | 1477185189 |
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Provider Enumeration Date | 02/11/2020 |
Last Update Date | 07/09/2020 |
Medicare PECOS PAC ID | 2668887050 |
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Medicare Enrollment ID | O20210217000788 |
Identifier | Type | State | Issuer |
---|---|---|---|
1477185189 | NPI | - | NPPES |
13869430 | Other | FL | CAQH |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Provider Name | Danielle M Lucien |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1083054035 PECOS PAC ID: 7517253636 Enrollment ID: I20160915000939 |
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