Healthcare Provider Details

I. General information

NPI: 1457814790
Provider Name (Legal Business Name): LUCA HUGO DEBS MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/12/2019
Last Update Date: 07/28/2026
Certification Date: 07/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1725 SE 28TH LOOP STE 102
OCALA FL
34471-5328
US

IV. Provider business mailing address

1725 SE 28TH LOOP STE 102
OCALA FL
34471-5328
US

V. Phone/Fax

Practice location:
  • Phone: 352-629-1743
  • Fax:
Mailing address:
  • Phone: 352-629-1743
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207T00000X
TaxonomyNeurological Surgery Physician
License NumberME179665
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: