Provider Demographics
NPI:1497796528
Name:DELUCA, ROBERT F (MD)
Entity Type:Individual
Prefix:
First Name:ROBERT
Middle Name:F
Last Name:DELUCA
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:427 BILTMORE WAY
Mailing Address - Street 2:102
Mailing Address - City:CORAL GABLES
Mailing Address - State:FL
Mailing Address - Zip Code:33134-5735
Mailing Address - Country:US
Mailing Address - Phone:305-663-2620
Mailing Address - Fax:305-663-2616
Practice Address - Street 1:427 BILTMORE WAY
Practice Address - Street 2:102
Practice Address - City:CORAL GABLES
Practice Address - State:FL
Practice Address - Zip Code:33134-5735
Practice Address - Country:US
Practice Address - Phone:305-663-2620
Practice Address - Fax:305-663-2616
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-09
Last Update Date:2008-05-15
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
FLME22303207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL92315OtherBLUE CROSS BLUE SHIELD
FL216804OtherAVMED
FL92315OtherBLUE CROSS BLUE SHIELD
FLD60033Medicare UPIN