Individual provider · Type 1 NPI

Lucian Kenneth Denicola, MD

Pediatric Critical Care Medicine Physician · Jacksonville, FL

NPI number 1750359063 Active

Practice location

800 Prudential Dr Fl 3, Ufjp Pediatric Critical Care
Jacksonville, FL 32207-8202

Call (904) 202-8758 Map

Fax (904) 306-9884

Mailing address

PO Box 44008, Ufjp Provider Enrollment
Jacksonville, FL 32231-4008

Specialties and licenses

Taxonomy	Code	License
Pediatrics Physician	208000000X	ME40505 (FL)
Pediatric Critical Care Medicine Physician Primary	2080P0203X	ME40505 (FL)

Pediatric Critical Care Medicine Physician: A pediatrician expert in advanced life support for children from the term or near-term neonate to the adolescent. This competence extends to the critical care management of life-threatening organ system failure from any cause in both medical and surgical patients and to the support of vital physiological functions. This specialist may have administrative responsibilities for intensive care units and also facilitates…

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About NPI 1750359063

Lucian Kenneth Denicola, MD's National Provider Identifier is 1750359063, issued on Mar 11, 2006. The primary taxonomy on file is Pediatric Critical Care Medicine Physician (2080P0203X), and the practice location is in Jacksonville, FL. The record was last updated on Aug 17, 2009.