Dr. Lucian Kenneth Denicola
M.D. | Pediatric Critical Care Medicine | Male
Dr. Lucian Kenneth Denicola, M.D. is a Jacksonville, Florida based Pediatric doctor with medical specialization in
Pediatric Critical Care Medicine.
Current practice location of Dr. Lucian Kenneth Denicola is
800 Prudential Dr Fl 3, Ufjp Pediatric Critical Care, Jacksonville, Florida - 32207-8202. He can be contacted on phone at
904-202-8758 and fax number 904-306-9884.
Dr. Lucian Kenneth Denicola is a sole proprietor of his business.
NPI number (Unique professional ID) for Dr. Lucian Kenneth Denicola is
1750359063 which was assigned by NPPES on 11 Mar, 2006 and it was last updated on 17 Aug, 2009.
Dr. Lucian Kenneth Denicola license number is
ME40505 for Pediatrics Pediatric Critical Care Medicine (2080P0203X) in Florida.
Dr. Lucian Kenneth Denicola is expert in advanced life support for children from the term or near-term neonate to the adolescent. This competence extends to the critical care management of life-threatening organ system failure from any cause in both medical and surgical patients and to the support of vital physiological functions. This specialist may have administrative responsibilities for intensive care units and also facilitates patient care among other specialists.
Complete Profile:
Dr. Lucian Kenneth Denicola basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics Pediatric Critical Care Medicine |
|---|
| Provider Name : | Dr. Lucian Kenneth Denicola |
|---|
| Credential : | M.D. |
|---|
| Gender : | Male |
|---|
Business Address:
Dr. Lucian Kenneth Denicola address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 800 Prudential Dr Fl 3, Ufjp Pediatric Critical Care
Jacksonville, FL, 32207-8202
United States |
|---|
| Phone Number : | 904-202-8758 |
|---|
| Fax Number : | 904-306-9884 |
|---|
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1750359063 |
|---|
| NPI Entity Type : | Individual |
|---|
| First Enrolment Date : | 11 Mar, 2006 |
|---|
| Last Updated On : | 17 Aug, 2009 |
|---|
Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Lucian Kenneth Denicola are as mentioned. Primary taxonomy code for Dr. Lucian Kenneth Denicola, M.D. is
2080P0203X (Pediatrics Pediatric Critical Care Medicine).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | No | ME40505 | FL |
| 2080P0203X | Pediatrics Pediatric Critical Care Medicine | Yes | ME40505 | FL |
Legacy Identifiers:
Other legacy medical identifiers of Dr. Lucian Kenneth Denicola such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 0669610-00 | MEDICAID | FL | |
| 000252458D | MEDICAID | GA | |
| 810000707 | Other | FL | RAILROAD MEDICARE |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | Po Box 44008, Ufjp Provider Enrollment
Jacksonville, FL, 32231-4008
United States |
|---|
Business Location:
Patients can refer following map for directions to
Dr. Lucian Kenneth Denicola practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.