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Individual

MARIE-CLAUDE DUBUC

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
5300 W HILLSBORO BLVD, SUITE A-101, COCONUT CREEK, FL 33073-4395
(954) 571-7727
Mailing address
5300 W HILLSBORO BLVD, SUITE A-101, COCONUT CREEK, FL 33073-4395

Taxonomy

Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
PA9105167
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
260446935
TAX ID
Enumeration date
04/15/2010
Last updated
03/12/2025
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