Organization Active NPI

Timothy Lucey DO PLLC

  • Neurology Physician
  • Fernandina Beach, FL
National Provider Identifier
1477719656
Registry record updated Dec 6, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
OS10412 Issued in FL
Legal business name
TIMOTHY LUCEY DO PLLC
Practice address
1865 Lime St
Suite 103
Fernandina Beach, FL 32034-4779
Phone
(904) 277-3311
Fax
(904) 277-3343
NPI assigned
Aug 6, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2016

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

Authorized official

Name
Timothy D Lucey, D.O.
Title
Medical Director
Phone
(904) 277-3311

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084N0400X OS10412 FL Primary

Addresses

Primary practice location

1865 Lime St
Suite 103
Fernandina Beach, FL 32034-4779

Mailing address

PO Box 15718
Fernandina Beach, FL 32035-3112
Phone (904) 277-3311

National Provider Directory

National Provider Directory

Locations

335 11th Ave N
Jax Bch, FL 32250
Phone (904) 242-0422

NPI Registry JSON

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

{
    "created_epoch": "1217980800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1480982400000",
    "number": "1477719656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 15718",
            "city": "FERNANDINA BEACH",
            "state": "FL",
            "postal_code": "320353112",
            "telephone_number": "904-277-3311",
            "fax_number": "904-277-3343"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1865 LIME ST",
            "address_2": "SUITE 103",
            "city": "FERNANDINA BEACH",
            "state": "FL",
            "postal_code": "320344779",
            "telephone_number": "904-277-3311",
            "fax_number": "904-277-3343"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TIMOTHY LUCEY DO PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-06",
        "last_updated": "2016-12-06",
        "status": "A",
        "authorized_official_last_name": "LUCEY",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "904-277-3311",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "FL",
            "license": "OS10412",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fernandina Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2016; 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.