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NPI Code Detail

MEDICARE: DR. ANTHONY LOUIS LUCIANO M.D.

MEDICARE: DR. ANTHONY LOUIS LUCIANO M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207R00000XInternal Medicine PhysicianME170461FL

General Provider Information

NPI Number : 1053328435
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ANTHONY LOUIS LUCIANO M.D.
Provider Business Mailing Address
First Line : PO BOX 746638
Second Line :
City : ATLANTA
State : GA
Zip : 30374-6638
Country : US
Telephone Number : 904-202-2092
Fax Number : 904-376-4075
Provider Business Practice Location Address
First Line : 1660 PRUDENTIAL DR STE 400
Second Line :
City : JACKSONVILLE
State : FL
Zip : 32207-8188
Country : US
Telephone Number : 904-396-0000
Fax Number : 904-396-5206
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/01/2006
Last Update Date : 04/08/2026

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Directions to “ DR. ANTHONY LOUIS LUCIANO M.D.” Practice Location

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