| Organization Name: | CRISTINA LUCIANO M D P A |
| NPI Number: | 1801073713 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | CRISTINA LUCIANO (OWNER) |
| Mailing Address: | 1555 Kingsley Ave Suite #404 Orange Park |
| State: | FL US |
| Postal Code: | 320739207 |
| Phone Number: | 9042150700 |
| Fax Number: | |
| NPI Enumeration Date: | 01/23/2008 |
| NPI Last Update Date: | 05/19/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | ME74563 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | FL |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |