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Provider Information for 1194336586


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PATRICIA DUFF-FLEMING


Sex: Female

NPI: 1194336586
Last Updated: 2020-08-11
Certification Date: 2020-08-11

Details

NameValue
NPI1194336586
Enumeration Date2020-08-11
NPI TypeNPI-1 Individual
Sole ProprietorYES
StatusActive
Mailing Address 150 LIMEWOOD PL UNIT 6
ORMOND BEACH, FL 32174-2669
United States

Phone: 386-405-4156 | Fax:
 
Primary Practice Address 259 BILL FRANCE BLVD STE 200
DAYTONA BEACH, FL 32114-1316
United States

Phone: 386-405-4156 | Fax:
 
Secondary Practice Address(es)
Health Information Exchange
Endpoint TypeEndpointEndpoint DescriptionUseContent TypeAffiliationEndpoint Location
Other Identifiers
IssuerStateNumberOther Issuer
Taxonomy
Primary TaxonomySelected TaxonomyStateLicense Number
Yes 101YM0800X - Counselor - Mental HealthFLIMH19819