Healthcare Provider Details

I. General information

NPI: 1285538074
Provider Name (Legal Business Name): ANTHONY DELUCIA DDS PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/05/2026
Last Update Date: 10/05/2026
Certification Date: 10/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

731 S COLORADO AVE
STUART FL
34994-3017
US

IV. Provider business mailing address

731 S COLORADO AVE
STUART FL
34994-3017
US

V. Phone/Fax

Practice location:
  • Phone: 772-287-7077
  • Fax: 772-220-4702
Mailing address:
  • Phone: 772-287-7077
  • Fax: 772-220-4702

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number
License Number StateNULL

VIII. Authorized Official

Name: DR. ANTHONY DELUCIA
Title or Position: DENTIST/OWNER
Credential: DDS
Phone: 772-285-0773