W.D.Lucky, M.D., Inc in Miami - Specialist
W.D.Lucky, M.D., Inc - NPI 1396772224
W.D.Lucky, M.D., Inc is a Specialist in Miami, Florida. W.D.Lucky, M.D., Inc practices all healthcare services and medical treatments related to Specialist. The NPI Number for W.D.Lucky, M.D., Inc is 1396772224. The last update date is 2015-01-05.
W.D.Lucky, M.D., Inc's current location address is 13520 Sw 152nd St, Miami, Florida. You can contact this provider via phone number 3052383990. The mailing address for W.D.Lucky, M.D., Inc is 13520 Sw 152nd St, Miami, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | W.D.Lucky, M.D., Inc |
|---|---|
| Address | 13520 Sw 152nd St, Miami, Florida |
| Phone Number | 3052383990 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Lucky David William |
| Credentials | M.D. |
| Telephone Number | 3052383990 |
NPI Number Detail
| NPI Number | 1396772224 |
|---|---|
| Provider Enumeration Date | 2006-06-27 |
| Last Updated Date | 2015-01-05 |
Provider Mailing Address Detail
| Address | 13520 Sw 152nd St |
|---|---|
| City | Miami |
| State | Florida (FL) |
| Post Code | 331770031 |
| Phone Number | 3052383990 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
| Licence No | 29049 |
|
Definition: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 38136500 | FL | -- | |
| 95193Y | FL | FL MEDICARE INDIVIDUAL PTAN |
Post Comment/ Review Below
What is the W.D.Lucky, M.D., Inc's unique identification number?
The W.D.Lucky, M.D., Inc has been assigned the NPI (National Provider Identifier) Number 1396772224 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you share the physical location details of W.D.Lucky, M.D., Inc?
The W.D.Lucky, M.D., Inc is situated at 13520 Sw 152Nd St, in the city of Miami, state of FL, with the zip code 331770031.
What is the W.D.Lucky, M.D., Inc's specialty and taxonomy code?
The W.D.Lucky, M.D., Inc's specialty is Specialist, and the corresponding taxonomy code is 174400000X.
On what date did the W.D.Lucky, M.D., Inc receive the assignment of its 1396772224 from the Centers for Medicare & Medicaid Services?
The W.D.Lucky, M.D., Inc was issued its 1396772224 by the Centers for Medicare & Medicaid Services on 2006-06-27.
When was the information pertaining to W.D.Lucky, M.D., Inc most recently updated or revised?
The details related to W.D.Lucky, M.D., Inc, including its address, specialty, and other relevant information, were last updated or revised on 2015-01-05.
NPI Number: 1982607784
Address: 54045 Ridge Rd, Yucca Valley, CA