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
Certification Date: 2020-08-11
Details
Name | Value | ||||||||
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NPI | 1194336586 | ||||||||
Enumeration Date | 2020-08-11 | ||||||||
NPI Type | NPI-1 Individual | ||||||||
Sole Proprietor | YES | ||||||||
Status | Active | ||||||||
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: | ||||||||
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