Individual
DR. DUELLYN Z. PANDIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP, APRN, FNP-C
Contact information
Practice address
4204 W LINEBAUGH AVE, TAMPA, FL 33624-5241
(813) 969-3757
Mailing address
4204 W LINEBAUGH AVE, TAMPA, FL 33624-5241
(813) 969-3757
(813) 969-3052
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN2855132
FL
163WX0106X
Occupational Health Registered Nurse
RN2855132
FL
2083P0901X
Public Health & General Preventive Medicine Physician
Primary
ARNP2855132
FL
363L00000X
Nurse Practitioner
2855132
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00000000
OTHER
—
Enumeration date
08/12/2008
Last updated
08/13/2021
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