| Dr Eugene R Delucia Iii, DO | |
|
4543 S Manhattan Ave, Suite 102, Tampa, FL 33611-2330 | |
| (813) 837-2461 | |
| (813) 835-1731 |
| Full Name | Dr Eugene R Delucia Iii |
|---|---|
| Gender | Male |
| Speciality | Physical Medicine & Rehabilitation |
| Location | 4543 S Manhattan Ave, Tampa, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669423141 | NPI | - | NPPES |
| 057019200 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | OS3780 (Florida) | Secondary |
| 208100000X | Physical Medicine & Rehabilitation | OS3780 (Florida) | Primary |
| Entity Name | Wellspring Health Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1881185494 PECOS PAC ID: 1153679360 Enrollment ID: O20180803002749 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Eugene R Delucia Iii, DO 4543 S Manhattan Ave, Suite 102, Tampa, FL 33611-2330 Ph: (813) 837-2461 | Dr Eugene R Delucia Iii, DO 4543 S Manhattan Ave, Suite 102, Tampa, FL 33611-2330 Ph: (813) 837-2461 |
Artish Narendra Patel, MD Physical Medicine & Rehabilitation Medicare: Medicare Enrolled Practice Location: 625 E Twiggs St Ste 103, Tampa, FL 33602 Phone: 813-228-7696 Fax: 813-228-0677 | |
Kareem Qaisi, DO Physical Medicine & Rehabilitation Medicare: Medicare Enrolled Practice Location: 6920 N Dale Mabry Hwy, Tampa, FL 33614 Phone: 813-212-1120 | |
Mr. Colin W Fitzgerald, Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 9724 N Armenia Ave, Suite 100, Tampa, FL 33612 Phone: 813-915-8666 | |
Dr. Sheryce Marie Andrews, M.D. Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 2914 N Boulevard, Tampa, FL 33602 Phone: 813-228-7696 Fax: 813-228-0677 | |
Jessica Bergin, ATC, LAT Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 401 W Kennedy Blvd # I, Tampa, FL 33606 Phone: 813-253-6264 | |
Daniel Leary, DO Physical Medicine & Rehabilitation Medicare: May Accept Medicare Assignments Practice Location: 625 E Twiggs St Ste 103, Tampa, FL 33602 Phone: 813-228-7696 | |
Roberto Perez-millan, MD, PA Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 4600 N Habana Ave, Suite 28, Tampa, FL 33614 Phone: 813-873-2800 Fax: 813-961-8593 |