Individual
AMY LYNNE DUGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
7000 SPYGLASS CT STE 310, MELBOURNE, FL 32940
(321) 735-6218
Mailing address
6005 US HIGHWAY 1 UNIT 106, ROCKLEDGE, FL 32955-5702
(419) 473-3561
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
11000522
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2356534
—
FL
01
—
H224860
MEDICARE UPIN
FL
Enumeration date
03/22/2007
Last updated
07/24/2019
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