MEDICARE: ANNA LUCARELLI

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
1	363A00000X	Physician Assistant	PA9115629	FL

General Provider Information

NPI Number	:	1609520600
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANNA LUCARELLI

Provider Business Mailing Address
First Line	:	1284 INNOVATION DR STE 100
Second Line	:
City	:	NAPLES
State	:	FL
Zip	:	34108-2272
Country	:	US
Telephone Number	:	239-591-1488
Fax Number	:

Provider Business Practice Location Address
First Line	:	1284 INNOVATION DR STE 100
Second Line	:
City	:	NAPLES
State	:	FL
Zip	:	34108-2272
Country	:	US
Telephone Number	:	239-591-1488
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/08/2022
Last Update Date	:	12/04/2025

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Directions to “ ANNA LUCARELLI ” Practice Location

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