Provider Demographics
NPI:1811091291
Name:DELUCIA, FRANK A (MD,MS,PA)
Entity type:Individual
Prefix:
First Name:FRANK
Middle Name:A
Last Name:DELUCIA
Suffix:
Gender:M
Credentials:MD,MS,PA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1002 S OLD DIXIE HWY
Mailing Address - Street 2:206
Mailing Address - City:JUPITER
Mailing Address - State:FL
Mailing Address - Zip Code:33458-7202
Mailing Address - Country:US
Mailing Address - Phone:561-747-6300
Mailing Address - Fax:561-747-6301
Practice Address - Street 1:1002 S OLD DIXIE HWY
Practice Address - Street 2:206
Practice Address - City:JUPITER
Practice Address - State:FL
Practice Address - Zip Code:33458-7202
Practice Address - Country:US
Practice Address - Phone:561-747-6300
Practice Address - Fax:561-747-6301
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-07
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME0037332207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL61512OtherBCBS
FL650236526OtherTAX ID
FL0962961OtherAETNA
FL045113400Medicaid
FL200011579OtherRAILROAD MEDICARE
FL200011579OtherRAILROAD MEDICARE
FL045113400Medicaid
FL61512OtherBCBS
FL200011579OtherRAILROAD MEDICARE