LUCIANO JOHN RADI PA-C NPI 1215129622

NPI Information

NPI: 1215129622
Provider Name: LUCIANO JOHN RADI, PA-C
Classification: Physician Assistant - 363AS0400X
Entity Type: Individual

Specialization: Surgical

PECOS Registration: Yes

Address:
6550 N FEDERAL HWY
STE 512
FT LAUDERDALE, FL
ZIP 33308
Phone: (954) 267-8777
Get Directions

Luciano John Radi, PA-C is a surgical physician assistant in Ft Lauderdale, FL with 18 years of experience. Luciano John Radi, PA-C NPI is 1215129622. 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:

6550 N FEDERAL HWY
STE 512
FT LAUDERDALE, FL
ZIP 33308-404
Phone: (954) 267-8777
Fax: (954) 772-7801

The NPI 1215129622 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 8/10/2007 and was last updated on 11/3/2009.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363AS0400X	Physician Assistant	Surgical	PA9104117	FLORIDA	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	AH414Z	OTHER	FLORIDA	MEDICARE PTAN
2	292960100	MEDICAID	FLORIDA

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

NPI Synchronization or Removal

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