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JOSEPH NICHOLAS DELUCA MD PHD NPI 1114930633


NPI Information

NPI: 1114930633
Provider Name: JOSEPH NICHOLAS DELUCA, MD, PHD
Classification: General Practice - 208D00000X
Entity Type: Individual

PECOS Registration: Yes

Address:
378 CENTER POINTE CIRCLE
SUITE 1280
ALTAMONTE SPRINGS, FL
ZIP 32701
Phone: (407) 862-5959
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Joseph Nicholas Deluca, MD, PHD is a general practice in Altamonte Springs, FL. Joseph Nicholas Deluca, MD, PHD NPI is 1114930633. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

378 CENTER POINTE CIRCLE
SUITE 1280
ALTAMONTE SPRINGS, FL
ZIP 32701-442
Phone: (407) 862-5959
Fax: (407) 774-5573

The NPI 1114930633 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 8/14/2006 and was last updated on 3/27/2017.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1103TC0700XPsychologistClinicalPY0003384FLORIDANo
2208D00000XGeneral PracticeME0050155FLORIDANo
3208D00000XGeneral PracticeME50155FLORIDAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1D50662MEDICARE UPIN
202857MEDICARE ID-TYPE UNSPECIFIED
3046585200MEDICAIDFLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.