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Individual

MS. KATIE MICHELLE DUQUE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
89 W COPELAND DR, ORLANDO, FL 32806-2002
(321) 841-7550
Mailing address
89 W COPELAND DR FL 2, ORLANDO, FL 32806-2002
(321) 841-7550
(321) 841-8185

Taxonomy

Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PA9116510
FL
363AS0400X
Surgical Physician Assistant

Other

Enumeration date
09/12/2022
Last updated
08/16/2023
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