Individual
DR. CHANTELLE DUFRESNE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
1800 SE TIFFANY AVE, PORT ST LUCIE, FL 34952-7521
(772) 335-4000
Mailing address
300 VIA ROYALE, APT 309, JUPITER, FL 33458-6971
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
UO 2986
FL
Other
Enumeration date
10/03/2012
Last updated
05/28/2013
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