Individual
DAVID GERARD DUBE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1011 TOURMALINE DR, KISSIMMEE, FL 34746-6147
(407) 572-5025
Mailing address
1011 TOURMALINE DR, KISSIMMEE, FL 34746-6147
(407) 572-5025
Taxonomy
Speciality
Code
Description
License number
State
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
Primary
46-3007097
FL
Other
Enumeration date
09/26/2013
Last updated
09/30/2013
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