William David Lucky in Miami - Specialist
William David Lucky - NPI 1538168075
William David Lucky is a Specialist in Miami, Florida. William David Lucky practices all healthcare services and medical treatments related to Specialist. The NPI Number for William David Lucky is 1538168075. The last update date is 2019-09-24.
William David Lucky's current location address is 13727 Sw 152nd St, Miami, Florida. You can contact this provider via phone number 3052383990 and fax number 3052546331. The mailing address for William David Lucky is 13727 Sw 152nd St, Miami, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | William David Lucky |
|---|---|
| Address | 13727 Sw 152nd St, Miami, Florida |
| Phone Number | 3052383990 |
| Fax Number | 3052546331 |
| Sole Proprietor | Y |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1538168075 |
|---|---|
| Provider Enumeration Date | 2005-07-18 |
| Last Updated Date | 2019-09-24 |
Provider Mailing Address Detail
| Address | 13727 Sw 152nd St |
|---|---|
| City | Miami |
| State | Florida (FL) |
| Post Code | 331771106 |
| Phone Number | 3052383990 |
| Fax Number | 3052546331 |
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. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| K5918 | FL | MEDICARE GROUP PROVIDER N | |
| K5918C | FL | GROUP PTAN FL MEDICARE | |
| 38136500 | FL | -- |
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What is the William David Lucky's unique identification number?
The William David Lucky has been assigned the NPI (National Provider Identifier) Number 1538168075 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Where is the William David Lucky located?
The William David Lucky is located at 13727 Sw 152Nd St, Miami, FL 331771106.
What is William David Lucky's specialized field of practice, and what is the corresponding taxonomy classification code?
The William David Lucky's area of specialization is Specialist, and the corresponding taxonomy code that categorizes this field of practice is 174400000X.
When was the William David Lucky's 1538168075 issued?
The William David Lucky's 1538168075 was issued on 2005-07-18.
When was the information regarding William David Lucky most recently updated?
The details pertaining to the William David Lucky, including its address, specialty, and other relevant information, were last refreshed on 2019-09-24.