| Jodi J De Luca Phd Pa | |
|
12167 W Linebaugh Ave Tampa FL 33626-1732 | |
| (813) 386-6800 | |
| (813) 891-1311 |
| Full Name | Jodi J De Luca Phd Pa |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 12167 W Linebaugh Ave, Tampa, Florida |
| Authorized Official Name and Position | Jodi J De Luca (OWNER) |
| Authorized Official Contact | 8139209590 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jodi J De Luca Phd Pa 16018 Shinnecock Dr Odessa FL 33556-5717 Ph: (813) 920-9590 | Jodi J De Luca Phd Pa 12167 W Linebaugh Ave Tampa FL 33626-1732 Ph: (813) 386-6800 |
| NPI Number | 1346406451 |
|---|---|
| Provider Enumeration Date | 07/29/2008 |
| Last Update Date | 07/29/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346406451 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | PY7169 (Florida) | Primary |
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