LUCIAN KENNETH DENICOLA

JACKSONVILLE, FL
NPI1750359063
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2080P0203X Pediatrics, Pediatric Critical Care Medicine
(Licence: FL  ME40505)
Additional Taxonomies208000000X Pediatrics
(Licence: FL  ME40505)
Enumeration Date2006-03-11
Last Update Date2009-08-17
Business Address
Dr. LUCIAN KENNETH DENICOLA M.D.
800 PRUDENTIAL DR FL 3 UFJP PEDIATRIC CRITICAL CARE
JACKSONVILLE, FL 32207-8202
Phone number: 904-202-8758
Mailing Address
Dr. LUCIAN KENNETH DENICOLA M.D.
PO BOX 44008 UFJP PROVIDER ENROLLMENT
JACKSONVILLE, FL 32231-4008
Phone number:
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