Jonathan Lucking (NPI# 1366889545, PAC ID# 4082904008) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is COLORECTAL SURGERY (PROCTOLOGY).
| Nation Provider ID (NPI) | 1366889545 |
| PAC ID by PECOS | 4082904008 |
| Professional Enrollment ID | I20190923003185 |
| Full Name | Jonathan Lucking |
| Organization Legal Name | FLORIDA HOSPITAL MEDICAL GROUP INC |
| Address |
2415 Norange Ave Suite 300 Orlando FL 32804 |
| Phone Number | 4073032615 |
| Gender | M |
| Medical School | WAYNE STATE UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 2013 |
| Primary Specialty | COLORECTAL SURGERY (PROCTOLOGY) |
| Secondary Specialties | GENERAL SURGERY |
| Group Practice PAC ID | 0749186153 |
| Number of Group Practice Members | 823 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 100007 | FLORIDA HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 2415 Norange Ave, Suite 300, Orlando, FL 32804 | 4073032615 | FLORIDA HOSPITAL MEDICAL GROUP INC |
| Organization Legal Name | FLORIDA HOSPITAL MEDICAL GROUP INC |
| Physicians | 1050 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kimberly Kay Kaufmann | Certified Nurse Midwife (cnm) | Florida Hospital Medical Group Inc | 235 E Princeton St, Suite 200, Orlando, FL 32804-5555 |
| Amanda Nadeau | Family Medicine | Florida Hospital Medical Group Inc | 2000 Fowler Grove Blvd, Fl 3, Winter Garden, FL 34787-5050 |
| Amber Shepard | Family Medicine | Florida Hospital Medical Group Inc | 1255 State Rd 60, Suite 500, Lake Wales, FL 33853-4302 |
| Jason Smith | General Surgery | Florida Hospital Medical Group Inc | 1290 Waterman Way, Tavares, FL 32778-5229 |
| Buck Andreu Scott | General Surgery | Florida Hospital Medical Group Inc | 407 S 11th St, Lake Wales, FL 33853-4243 |
| Mitchell Machado | Medical Oncology | Florida Hospital Medical Group Inc | 7975 Lake Underhill Rd, Suite 220b, Orlando, FL 32822-8202 |
| Lennie Calderon | Nurse Practitioner | Florida Hospital Medical Group Inc | 1300 W Oak St, Kissimmee, FL 34741-4024 |
| Devlin H O'connor | Family Medicine | Florida Hospital Medical Group Inc | 3330 Waterman Way, Tavares, FL 32778-5250 |
| Tutu Cheng | Plastic and Reconstructive Surgery | Florida Hospital Medical Group Inc | 410 Lionel Way, Suite 204, Davenport, FL 33837-7809 |
| Andrija Vidic | Advanced Heart Failure and Transplant Cardiology | Florida Hospital Medical Group Inc | 601 E Rolling St, Orlando, FL 32803-1248 |
| Street Address |
2415 NORANGE AVE SUITE 300 |
| City | ORLANDO |
| State | FL |
| Zip | 32804 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Norbert Garcia-henriquez | Colorectal Surgery (proctology) | Florida Hospital Medical Group Inc | 2415 Norange Ave, Suite 300, Orlando, FL 32804 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mukesh Kumar | Cardiovascular Disease (cardiology) | Cardiovascular Associates Inc | 4529 Edgewater Dr, Orlando, FL 32804-1119 |
| Johnson P Massey | Cardiovascular Disease (cardiology) | Cardiovascular Associates Inc | 4529 Edgewater Dr, Orlando, FL 32804-1119 |
| Robert L Barrett Jr. | Cardiovascular Disease (cardiology) | Cardiovascular Associates Inc | 4529 Edgewater Dr, Orlando, FL 32804-1119 |
| Jooby John | Cardiovascular Disease (cardiology) | Cardiovascular Associates Inc | 4529 Edgewater Dr, Orlando, FL 32804-1119 |
| Patrick F Mathias | Cardiovascular Disease (cardiology) | Cardiovascular Associates Inc | 4529 Edgewater Dr, Orlando, FL 32804-1119 |
| Kevin Lee Pressley | Internal Medicine | 4474 Edgewater Dr, Orlando, FL 32804-1216 | |
| Michael E Hammoor | Physician Assistant | Qss-southeast Clinical Services LLC | 4215 Edgewater Dr, Orlando, FL 32804-2206 |
| Khanh Q Nguyen | Physician Assistant | Qss-southeast Clinical Services LLC | 4215 Edgewater Dr, Orlando, FL 32804-2206 |
| Edmund Abate Iii | Physician Assistant | Qss-southeast Clinical Services LLC | 4215 Edgewater Dr, Orlando, FL 32804-2206 |
| Jason Descalso | Physician Assistant | Qss-southeast Clinical Services LLC | 4215 Edgewater Dr, Orlando, FL 32804-2206 |
| Find all physicians in zip 32804 | |||
| City | ORLANDO |
| Zip Code | 32804 |
| Specialty | COLORECTAL SURGERY (PROCTOLOGY) |
| City + Specialty | ORLANDO + COLORECTAL SURGERY (PROCTOLOGY) |
Please comment or provide details below to improve the information on Jonathan Lucking.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.