Provider Demographics
NPI:1851586945
Name:LUCA, CATRINA N (MD)
Entity Type:Individual
Prefix:DR
First Name:CATRINA
Middle Name:N
Last Name:LUCA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5745 SW 75TH ST # 365
Mailing Address - Street 2:
Mailing Address - City:GAINESVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32608-5504
Mailing Address - Country:US
Mailing Address - Phone:352-356-8255
Mailing Address - Fax:352-275-5731
Practice Address - Street 1:2631 NW 41ST ST STE E5
Practice Address - Street 2:
Practice Address - City:GAINESVILLE
Practice Address - State:FL
Practice Address - Zip Code:32606-6689
Practice Address - Country:US
Practice Address - Phone:352-658-5822
Practice Address - Fax:352-275-5731
Is Sole Proprietor?:Yes
Enumeration Date:2007-09-11
Last Update Date:2017-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME1018422084P0800X, 2084P0804X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0804XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent Psychiatry
No2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL003751200Medicaid
FLFA250ZMedicare PIN