Individual
DUSTY MARIE NARDUCCI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
13330 USF LAUREL DR, TAMPA, FL 33612-6601
(813) 974-2201
Mailing address
PO BOX 917770, ORLANDO, FL 32891-0001
(813) 974-2201
(813) 974-4325
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
ME128093
FL
207QS0010X
Sports Medicine (Family Medicine) Physician
ME128093
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
017546300
—
FL
01
—
Z5DPV
BLUE CROSS BLUE SHIELD
FL
Enumeration date
05/23/2013
Last updated
03/22/2021
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