Delucia, Eugene R

Delucia, Eugene R is an individual health care provider with primary practice located at 4543 S Manhattan Ave Suite 102, Tampa FL 33611-2330. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation. Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation is his primary health care specialty. Delucia, Eugene R can be contacted via phone (813) 837-2461.

Contact Information

Primary practice address
4543 S Manhattan Ave Suite 102 Tampa FL 33611-2330
Phone: (813) 837-2461
Fax: (813) 835-1731
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X OS3780 Florida
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X OS3780 Florida

Profile Details

NPI number 1669423141
LBN Legal business name Delucia, Eugene R
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date May 12th, 2006
Last updated Jan 2nd, 2020 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1669423141 NPPES
Florida MEDICAID 057019200

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