Individual
PASCALE T DUROSEAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1223 GATEWAY DR, MELBOURNE, FL 32901-2607
(321) 729-6166
(321) 722-1237
Mailing address
3300 S FISKE BLVD, ROCKLEDGE, FL 32955-4306
(321) 729-6166
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
ME167669
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
121978300
—
FL
01
—
SV024
MEDICARE HF
FL
Enumeration date
01/01/2007
Last updated
04/23/2024
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