Lucky, William David

Lucky, William David is an sole proprietor health care provider with primary practice located at 125 Ne 8Th St Suite 4, Homestead FL 33030-4676. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Undersea and Hyperbaric Medicine, Other Service Providers / Specialist. Other Service Providers / Specialist is his primary health care specialty. Lucky, William David can be contacted via phone (305) 238-3990.

Contact Information

Primary practice address
125 Ne 8Th St Suite 4 Homestead FL 33030-4676
Phone: (305) 238-3990
Fax: (305) 254-6331
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Undersea and Hyperbaric Medicine 2083P0011X ME29049 Florida
Other Service Providers / Specialist 174400000X 0029049 Florida

Profile Details

NPI number 1538168075
LBN Legal business name Lucky, William David
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 18th, 2005
Last updated Sep 24th, 2019 - about 5 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 1538168075 NPPES
Florida Other K5918 MEDICARE GROUP PROVIDER N
Florida Other K5918C MEDICARE GROUP PROVIDER N
Florida MEDICAID 038136500 MEDICARE GROUP PROVIDER N

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