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NPI Code Detail

MEDICARE: VANESSA JEAN LUCARELLA MD

MEDICARE: VANESSA JEAN LUCARELLA MD
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
1207RC0000XCardiovascular Disease PhysicianME59261FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1427048081
Entity Type Code : Individual
Provider Name (Legal Business Name) : VANESSA JEAN LUCARELLA MD
Provider Business Mailing Address
First Line : 455 PINELLAS ST
Second Line : STE 400
City : CLEARWATER
State : FL
Zip : 33756-3356
Country : US
Telephone Number : 727-445-1911
Fax Number : 727-445-1986
Provider Business Practice Location Address
First Line : 455 PINELLAS ST
Second Line : STE 400
City : CLEARWATER
State : FL
Zip : 33756-3356
Country : US
Telephone Number : 727-445-1911
Fax Number : 727-445-1986
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/25/2005
Last Update Date : 10/05/2016

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Directions to “ VANESSA JEAN LUCARELLA MD” Practice Location

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