Individual
PATRICIA DUFFIELD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
12731 NEW BRITTANY BLVD, FORT MYERS, FL 33907-3632
(239) 418-0999
(239) 418-0091
Mailing address
12731 NEW BRITTANY BLVD, FORT MYERS, FL 33907-3632
(239) 418-0999
(239) 418-0091
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
829
NV
152W00000X
Optometrist
Primary
OPC5182
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0260954554
—
FL
Enumeration date
10/10/2012
Last updated
06/27/2016
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