person
William David Lucky SR., MD
Specialist in Homestead, Florida
NPI 1538168075

William David Lucky SR. is a Specialist based in Miami, FL. William David Lucky SR. practices in Homestead, FL and has the professional credentials of MD. The NPI Number for William David Lucky SR. is 1538168075 and holds a License No. ME29049 (Florida).

The current practice location address for William David Lucky SR. is 125 Ne 8Th St, Homestead, FL and can be reached out via phone at 305-238-3990 and via fax at 305-254-6331. You can also correspond with William David Lucky SR. through the mailing address at 13727 SW 152ND ST, MIAMI, FL - 33177-1106 (mailing address contact number: 305-238-3990).

Location: 125 Ne 8Th St, Homestead, FL, 33177-1106
person
Provider Profile Details
NPI Number
1538168075
Provider Name
William David Lucky SR.
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
125 Ne 8Th St, Homestead, FL, 33177-1106
Phone Number
305-238-3990
Fax Number
305-254-6331
Provider Enumeration Date
07/18/2005
Last Update Date
03/08/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
K5918 01 FL MEDICARE GROUP PROVIDER N
K5918C 01 FL GROUP PTAN FL MEDICARE
038136500 05 FL
institution
Provider Business Practice Location Address Details
Address
125 Ne 8Th St
City
State
Zip
33030-4676
Phone Number
305-238-3990
Fax Number
305-254-6331
person
Provider Business Mailing Address Details
Address
13727 Sw 152Nd St
City
State
Zip
33177-1106
Phone Number
305-238-3990
Fax Number
305-254-6331
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
License No.
0029049 (Florida)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Preventive Medicine
Speciality
Undersea and Hyperbaric Medicine
Taxonomy
License No.
ME29049 (Florida)
Definition
A specialist who treats decompression illness and diving accident cases and uses hyperbaric oxygen therapy to treat such conditions as carbon monoxide poisoning, gas gangrene, non-healing wounds, tissue damage from radiation and burns and bone infections. This specialist also serves as consultant to other physicians in all aspects of hyperbaric chamber operations and assesses risks and applies appropriate standards to prevent disease and disability in divers and other persons working in altered atmospheric conditions.