Lucien Medical PA

Primary specialty

Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X

License

ME89412 Issued in FL

Legal business name

LUCIEN MEDICAL PA

Practice address

1001 Atlantic Ave
Suite D
Fernandina Beach, FL 32034-3650

Phone

(904) 322-8047

Fax

(866) 552-5911

NPI assigned

Mar 28, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Huber Matos-Garsault, MDNPI 1649217076

Title

President

Phone

(904) 322-8047

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Huber Matos-Garsault, M.D.

  • Interventional Pain Medicine Physician
  • Jacksonville, FL
  • NPI 1649217076

  Pain Medicine

  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1175040000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209081600000",
    "number": "1154440576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 ATLANTIC AVE",
            "address_2": "SUITE D",
            "city": "FERNANDINA BEACH",
            "state": "FL",
            "postal_code": "320343650",
            "telephone_number": "904-322-8047",
            "fax_number": "866-552-5911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 ATLANTIC AVE",
            "address_2": "SUITE D",
            "city": "FERNANDINA BEACH",
            "state": "FL",
            "postal_code": "320343650",
            "telephone_number": "904-322-8047",
            "fax_number": "866-552-5911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUCIEN MEDICAL PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-28",
        "last_updated": "2008-04-25",
        "status": "A",
        "authorized_official_last_name": "MATOS-GARSAULT",
        "authorized_official_first_name": "HUBER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "904-322-8047",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "FL",
            "license": "ME89412",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Gindele Loumeau, DMD
• Steven Lovejoy, MD
• Anna-Leigh Lovicz, PT
• Claudette Rash Lowary, COTA
• Timothy D Lucey, D.O.
• Mathew Luke, MD
• Lyerly Baptist Inc
• M-K of Fernandina Beach
• Andrew Dean Magnet, MD, PHD
• Magnolia Grace Senior Care LLC

• All providers in Fernandina Beach, FL
• Pain Medicine (Anesthesiology) Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.