Active NPI
Timothy Lucey DO PLLC
- Neurology Physician
- Fernandina Beach, FL
National Provider Identifier
1477719656
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- OS10412
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physician | 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 DirectoryLocations
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.