Individual
JOHANA F DUQUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
4850 W OAKLAND PARK BLVD, 201, LAUDERDALE LAKES, FL 33313-7260
(954) 735-3535
(954) 735-7908
Mailing address
4850 W OAKLAND PARK BLVD, 201, LAUDERDALE LAKES, FL 33313-7260
(954) 735-3535
(954) 735-7908
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA9105593
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009196800
—
FL
Enumeration date
11/29/2010
Last updated
07/20/2016
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