Provider Demographics
NPI:1497316640
Name:SAPIENZA, LUCAS GOMES (MD)
Entity type:Individual
Prefix:
First Name:LUCAS
Middle Name:GOMES
Last Name:SAPIENZA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:2015 JEFFERSON ST
Mailing Address - Street 2:
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32206-3531
Mailing Address - Country:US
Mailing Address - Phone:904-588-1800
Mailing Address - Fax:904-588-1300
Practice Address - Street 1:2015 JEFFERSON ST
Practice Address - Street 2:
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32206-3531
Practice Address - Country:US
Practice Address - Phone:904-588-1800
Practice Address - Fax:904-588-1300
Is Sole Proprietor?:No
Enumeration Date:2019-06-27
Last Update Date:2025-03-12
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FLME1676312085R0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0001XAllopathic & Osteopathic PhysiciansRadiologyRadiation Oncology