Healthcare Provider Details

I. General information

NPI: 1235473166
Provider Name (Legal Business Name): FLEXACARE MEDICAL PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/15/2012
Last Update Date: 11/15/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5223 W WOODMILL DR SUITE 41
WILMINGTON DE
19808-4068
US

IV. Provider business mailing address

PO BOX 2239
VINCENTOWN NJ
08088-2239
US

V. Phone/Fax

Practice location:
  • Phone: 302-995-2717
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RR0500X
TaxonomyRheumatology Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. DARREN LUGIANO
Title or Position: PRESIDENT
Credential:
Phone: 267-784-0009