TIMOTHY LUCEY DO PLLC (NPI# 1477719656) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477719656 |
| Entity Type | Organization |
| Organization Name | TIMOTHY LUCEY DO PLLC |
| Practice Address |
1865 Lime St Suite 103 Fernandina Beach FL 32034-4779 |
| Mailing Address |
Po Box 15718 Fernandina Beach FL 32035-3112 |
| Practice Telephone | 9042773311 |
| Practice Fax Number | 9042773343 |
| Mailing Telephone | 9042773311 |
| Mailing Fax Number | 9042773343 |
| Enumeration Date | 2008-08-06 |
| Last Update Date | 2016-12-06 |
| Authorized Official Name | TIMOTHY D LUCEY (MEDICAL DIRECTOR) |
| Authorized Official Telephone | 9042773311 |
| Authorized Official Credential | D.O. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
OS10412 | FL | Allopathic & Osteopathic Physicians |
| Street Address |
1865 LIME ST SUITE 103 |
| City | FERNANDINA BEACH |
| State | FL |
| Zip Code | 32034-4779 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811057318 | Timothy D Lucey | Psychiatry & Neurology | 1865 Lime St, Suite 103, Fernandina Beach, FL 32034-4779 | 2006-12-12 |
| 1265861595 | Ida Brown | Counselor | 1865 Lime St, Suite 101, Fernandina Beach, FL 32034-4779 | 2013-11-07 |
| 1649584079 | Physicians Group Services Pa | Family Medicine | 1865 Lime St, Suite 101, Fernandina Beach, FL 32034-4744 | 2010-07-27 |
| 1912223108 | Eugene Wang | Psychiatry & Neurology | 1865 Lime St, Suite 101, Fernandina Beach, FL 32034-4779 | 2010-04-13 |
| 1619180411 | Carly J Miller | Psychiatry & Neurology | 1865 Lime St, Suite 100, Fernandina Beach, FL 32034-4744 | 2007-05-08 |
| 1750400792 | Alan Edward Miller | Physical Medicine & Rehabilitation | 1865 Lime St, Suite 101, Fernandina Beach, FL 32034-4744 | 2007-03-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871059899 | Anna Fn Chu | Dietitian, Registered | Baptist Medical Center Nassau, 1250 South 18th Street, Fernandina Beach, FL 32034 | 2019-02-14 |
| 1841784550 | Kelly Ann Sayers | Social Worker | 1890 S 14th St Ste 110, Fernandina Beach, FL 32034 | 2018-06-15 |
| 1609302611 | Christian Giovanniello | Behavior Technician | 1743 Azalea Street, Fernandina Beach, FL 32034 | 2017-05-11 |
| 1770018467 | Beckerton Chiropractic Pllc | Chiropractor | 464073 East State Road 200, Yulee, FL 32034 | 2017-05-01 |
| 1114392438 | Jayde Marie Gray | Chiropractor | 5211 South Fletcher Ave., Suite 250, Amelia Island, FL 32034 | 2015-12-11 |
| 1760858369 | Sun Gallery Inc. | Eyewear Supplier (Equipment, not the service) | 1523 Sadler Road, Fernandina Beach, FL 32034 | 2015-08-18 |
| 1124419718 | Angela L Michels | Counselor | 1890 S. 14th St., #302, Fernandina Beach, FL 32034 | 2015-02-18 |
| 1336542075 | Sara Veronica Herreros | Physician Assistant | 1865 Lime Street, Suite 100, Fernandina Beach, FL 32034 | 2014-10-08 |
| 1366789471 | Elizabeth Ann Moore | Nurse Practitioner | 1348 S 18th St Ste 340, Fernandina Beach, FL 32034 | 2013-01-09 |
| 1043564289 | Summer Suzanne Delille | Dental Hygienist | 95054 Oriole St., Fernandina Beach, FL 32034 | 2012-11-08 |
| Find all providers in zip 32034 | ||||
| Taxonomy Code | 2084N0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurology |
| A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811057318 | Timothy D Lucey | Psychiatry & Neurology | 1865 Lime St, Suite 103, Fernandina Beach, FL 32034-4779 | 2006-12-12 |
| 1184625329 | Michael Adam Gebel | Psychiatry & Neurology | 1340 S 18th St Ste 104, Fernandina Beach, FL 32034-4733 | 2005-08-10 |
| 1841811387 | Baptist Neurolgy Inc | Psychiatry & Neurology | 1340 S 18th St Ste 104, Fernandina Beach, FL 32034-4733 | 2020-05-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043820087 | Lewis Leckey Hamilton | Psychiatry & Neurology | 471 Palm Ave, Boca Grande, FL 33921-1157 | 2020-08-04 |
| 1588282776 | Magic Medical Specialties Corp | Psychiatry & Neurology | 9421 S Orange Blossom Trl # 19, Orlando, FL 32837-8320 | 2020-07-14 |
| 1235757899 | Miami Headache Center, Pllc | Psychiatry & Neurology | 5415 Collins Ave Apt Phe, Miami Beach, FL 33140-2575 | 2020-07-10 |
| 1982220307 | Thornley Health, LLC | Psychiatry & Neurology | 4014 Sawyer Rd, Sarasota, FL 34233 | 2020-06-22 |
| 1104458462 | Neuro Synchrony LLC | Psychiatry & Neurology | 1745 E Hwy 50 Ste B1, Clermont, FL 34711-5190 | 2020-02-05 |
| 1568008373 | Tallahassee Memorial Healthcare Inc | Psychiatry & Neurology | 7514 Park Springs Cir, Orlando, FL 32835-2619 | 2019-11-27 |
| 1104387935 | Remyelix Neurology & Multiple Sclerosis Institute, Pllc | Psychiatry & Neurology | 4907 N Florida Ave, Tampa, FL 33603-2119 | 2019-03-26 |
| 1811461353 | Ricardo Villalobos Pa | Psychiatry & Neurology | 16606 Broadwater Ave, Winter Garden, FL 34787 | 2019-01-17 |
| 1164995528 | Rayyan Neurological Association LLC | Psychiatry & Neurology | 10022 Crystalline Ct, Orlando, FL 32836-6024 | 2019-01-09 |
| 1326511007 | Parkinsons & Memory Center Pa | Psychiatry & Neurology | 919 N Osprey Ave # B, Sarasota, FL 34236-4143 | 2019-01-06 |
| Find all providers with the same taxonomy | ||||
| City | FERNANDINA BEACH |
| Zip Code | 32034 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.