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Individual

CARLA M. DUFF

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ARNP

Contact information

Practice address
601 5TH ST S, ST PETERSBURG, FL 33701-4804
(727) 767-4150
(727) 767-8532
Mailing address
PO BOX 917770, ORLANDO, FL 32891-0001
(727) 767-4150

Taxonomy

Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
ARNP2900292
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
003520600
FL
01
Y08QK
BLUE CROSS BLUE SHIELD
FL
Enumeration date
05/16/2011
Last updated
02/18/2021
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