Individual
GREGORY S. MCDUFFIE
Active
Individual
GREGORY S. MCDUFFIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
ARNP3289102
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0038284 00
—
FL
01
—
G00S2
BCBS
FL
01
—
P01045893
RAILROAD MEDICARE
—
01
—
XXX-XX-4833
CHAMPUS TRICARE - SOUTH REGION
—
Enumeration date
06/20/2011
Last updated
07/31/2013
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