| Cristina Luciano M D P A | |
|
2 North Pavilion Place Penney Farms FL 32079-9207 | |
| (904) 349-6344 | |
| Not Available |
| Full Name | Cristina Luciano M D P A |
|---|---|
| Speciality | General Practice |
| Location | 2 North Pavilion Place, Penney Farms, Florida |
| Authorized Official Name and Position | Cristina Luciano (OWNER) |
| Authorized Official Contact | 9043496344 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Cristina Luciano M D P A Po Box 1004 Orange Park FL 32067-1004 Ph: (904) 349-6344 | Cristina Luciano M D P A 2 North Pavilion Place Penney Farms FL 32079-9207 Ph: (904) 349-6344 |
| NPI Number | 1801073713 |
|---|---|
| Provider Enumeration Date | 01/23/2008 |
| Last Update Date | 07/19/2023 |
| Medicare PECOS PAC ID | 2163593732 |
|---|---|
| Medicare Enrollment ID | O20230703000190 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801073713 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | ME74563 (Florida) | Primary |
| Provider Name | Cristina Luciano |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1912911512 PECOS PAC ID: 3577658210 Enrollment ID: I20230703000246 |
Douglas M Tew Md Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2 Pavilion Place, Penney Farms, FL 32079 Phone: 904-945-1224 | |
Issa.med P.a. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2 Pavillion Place, Penney Farms, FL 32079 Phone: 217-416-6431 | |
Outpatient Clinic At Penney Retirement Community, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2 North Pavilion Place, Penney Farms, FL 32079 Phone: 904-531-7022 |