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Individual

CARRIE DAVIDOFF STUCKEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
5458 TOWN CENTER RD, STE #101, BOCA RATON, FL 33486
(561) 393-8555
(561) 393-1904
Mailing address
PO BOX 9168, JUPITER, FL 33468
(561) 741-0000
(561) 745-4212

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
232822
MA
208000000X
Pediatrics Physician
MD446607
PA
208000000X
Pediatrics Physician
Primary
ME115676
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
008970500
FL
Enumeration date
05/30/2008
Last updated
02/09/2016
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