EUGENE R DELUCIA III DO, PA
Massage Therapy at Manhattan Ave, Tampa, FL

License number
Florida 13767
Issued Date
Nov 20, 2003
Effective Date
Apr 4, 2016
Expiration Date
Aug 31, 2015
Category
Health Care
Type
Massage Establishment
Address
Address
4543 S Manhattan Ave SUITE 102, Tampa, FL 33611
Phone
(813) 837-2461
LicenseFiles verified this license of Jun 1, 2017 at the Health Care Practitioner Data Portal.

Organization information

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EUGENE R. DELUCIA, III, D.O., PA

Saint Petersburg, FL  -  Tampa, FL

Status:
Inactive
Inactive reason:
REINSTATEMENT
Registration:
Dec 19, 1979
Inactive since:
Feb 16, 2012
Addresses:
632 Riviera Bay Dr Be, Saint Petersburg, FL 33702 (Physical)
632 Riviera Bay Dr NE, Saint Petersburg, FL 33702 (Mailing)
4543 S Manhattan Ave, Tampa, FL 33611
State ID:
648746
Business type:
Florida Profit Corporation
President, Directors:
Iii Delucia, 4543 S Manhattan Ave, Tampa, FL (Physical),Eugene R D O Delucia (President, Director)
Agent:
Delucia Iii,632 Riviera Bay Dr NE, Saint Petersburg, FL 33702 (Physical)
EIN:
591953310

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