DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: JONATHAN LUCAS

MEDICARE: JONATHAN LUCAS
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
11223X0400XOrthodontics and Dentofacial Orthopedics DentistryDN25980FL

General Provider Information

NPI Number : 1861235962
Entity Type Code : Individual
Provider Name (Legal Business Name) : JONATHAN LUCAS
Provider Business Mailing Address
First Line : 11141 SW 64TH AVE
Second Line :
City : PINECREST
State : FL
Zip : 33156-4068
Country : US
Telephone Number : 305-772-8393
Fax Number :
Provider Business Practice Location Address
First Line : 10056 PINES BLVD
Second Line :
City : PEMBROKE PINES
State : FL
Zip : 33024-6137
Country : US
Telephone Number : 954-432-7223
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/17/2024
Last Update Date : 02/10/2026

Similar Medicare Providers

1861498842 — DR. CHARLES BONANNO PHARM. D.
Practice Location Address:
10016 PINES BLVD
PEMBROKE PINES, FL
33024-6137
Practice Phone: 954-435-7200
Practice Fax: 954-424-9782
1598945404 — SIMFA ROSE PHARMACEUTICAL SPECIALTY INC
Practice Location Address:
10016 PINES BLVD
PEMBROKE PINES, FL
33024-6137
Practice Phone: 954-435-7200
Practice Fax: 954-438-1030
1659793859 — ROSE NURSING & PHARMACY SERVICES
Practice Location Address:
10008 PINES BLVD
PEMBROKE PINES, FL
33024-6137
Practice Phone: 954-435-7200
Practice Fax: 954-432-8295
1114321254 — BRANDON LUSAN RPHT
Practice Location Address:
10016 PINES BLVD
PEMBROKE PINES, FL
33024-6137
Practice Phone: 954-435-7200
Practice Fax:
1639573777 — MARIA CHRISTINA TIGLAO LPN, RPHT
Practice Location Address:
10016 PINES BLVD
PEMBROKE PINES, FL
33024-6137
Practice Phone: 954-435-7200
Practice Fax:
1578014965 — DR. ANDREA CHRISTINA MURZELLO PHARMD
Practice Location Address:
10016 PINES BLVD
PEMBROKE PINES, FL
33024-6137
Practice Phone: 954-435-7200
Practice Fax:

Directions to “ JONATHAN LUCAS ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.