person
Johana F Duque, PA
Medical Physician Assistant in Lauderdale Lakes, Florida
NPI 1497057350

Johana F Duque is a Medical Physician Assistant based in Lauderdale Lakes, FL and is specialized in Medical. Johana F Duque practices in Lauderdale Lakes, FL and has the professional credentials of PA. The NPI Number for Johana F Duque is 1497057350 and holds a License No. PA9105593 (Florida).

The current practice location address for Johana F Duque is 4850 W Oakland Park Blvd, Lauderdale Lakes, FL and can be reached out via phone at 954-735-3535 and via fax at 954-735-7908.

Location: 4850 W Oakland Park Blvd, Lauderdale Lakes, FL, 33313-7260
person
Provider Profile Details
NPI Number
1497057350
Provider Name
Johana F Duque
Credential
PA
Provider Entity Type
Individual
Gender
Female
Address
4850 W Oakland Park Blvd, Lauderdale Lakes, FL, 33313-7260
Phone Number
954-735-3535
Fax Number
954-735-7908
Provider Enumeration Date
11/29/2010
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
009196800 05 FL
institution
Provider Business Practice Location Address Details
Address
4850 W Oakland Park Blvd
City
State
Zip
33313-7260
Phone Number
954-735-3535
Fax Number
954-735-7908
person
Provider Business Mailing Address Details
Address
4850 W Oakland Park Blvd
City
State
Zip
33313-7260
Phone Number
954-735-3535
Fax Number
954-735-7908
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
PA9105593 (Florida)
Definition
Definition to come...
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