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Individual

MATTIE GALLAGHER DUCOIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CNM

Contact information

Practice address
2 TAMPA GENERAL CIR, TAMPA, FL 33606
(813) 974-2201
Mailing address
PO BOX 917770, ORLANDO, FL 32891-0001
(813) 974-2201

Taxonomy

Speciality
Code
Description
License number
State
176B00000X
Midwife
MW206
FL
367A00000X
Advanced Practice Midwife
0024170143
VA
367A00000X
Advanced Practice Midwife
AP08269
LA
367A00000X
Advanced Practice Midwife
Primary
APRN9369604
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
014267600
FL
05
07956874
MS
05
2418718
LA
01
KX359
MEDICARE
FL
01
Y0P9L
BLUE CROSS BLUE SHIELD
FL
Enumeration date
10/26/2007
Last updated
10/26/2020
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