Gildea, Lucia Ann

Gildea, Lucia Ann is an individual health care provider with primary practice located at 1350 Hickory St , Melbourne FL 32901-3224. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Surgical, Allopathic & Osteopathic Physicians / Hospitalist. Physician Assistants & Advanced Practice Nursing Providers / Surgical is her primary health care specialty. Gildea, Lucia Ann can be contacted via phone (631) 422-6166.

Contact Information

Primary practice address
1350 Hickory St Melbourne FL 32901-3224
Phone: (631) 422-6166
Fax: (631) 422-6266
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 00233000 New Jersey
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 012808 New York
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X PA9105480 Florida
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X PA9105480 Florida

Profile Details

NPI number 1275683351
LBN Legal business name Gildea, Lucia Ann
Credentials RPA-C
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 11th, 2007
Last updated Jul 9th, 2021 - about 3 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 1275683351 NPPES
Florida MEDICAID PENDING
Florida Other IZ176Z

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