Individual
MARYBETH DUGGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2575 WESTMINSTER TER, OVIEDO, FL 32765-7568
(407) 489-6323
(407) 391-9035
Mailing address
705 W 1ST ST, SANFORD, FL 32771-1121
(407) 489-6323
(407) 391-9035
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PENDING
—
FL
Enumeration date
07/07/2015
Last updated
07/07/2015
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