Provider Demographics
NPI:1750578381
Name:DELUCIA, BARBARA A (DMD MAGD)
Entity type:Individual
Prefix:DR
First Name:BARBARA
Middle Name:A
Last Name:DELUCIA
Suffix:
Gender:F
Credentials:DMD MAGD
Other - Prefix:DR
Other - First Name:BARBARA
Other - Middle Name:A
Other - Last Name:BUCY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DMD MAGD
Mailing Address - Street 1:6853 SE 12TH TERRACE
Mailing Address - Street 2:
Mailing Address - City:OCALA
Mailing Address - State:FL
Mailing Address - Zip Code:34480-6631
Mailing Address - Country:US
Mailing Address - Phone:352-237-9200
Mailing Address - Fax:
Practice Address - Street 1:2701 SW 34TH STREET
Practice Address - Street 2:BLDG 200
Practice Address - City:OCALA
Practice Address - State:FL
Practice Address - Zip Code:34474-9998
Practice Address - Country:US
Practice Address - Phone:352-237-9200
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-09-27
Last Update Date:2020-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN109501223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice