Doctor Name: | MARIE CLAUDE DUBUC |
NPI Number: | 1174849160 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PA-C |
License Number: | PA9105167 |
Business Practice Address: | 5300 W Hillsboro Blvd Suite A-101 Coconut Creek, FL - 330734395 |
Business Phone Number: | 9545717727 |
Business Fax Number: | |
Mailing Address: | 5300 W Hillsboro Blvd, Suite A-101 COCONUT CREEK |
State: | FL |
Postal Code: | 330734395 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 04/15/2010 |
NPI Last Update Date: | 04/15/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LP2300X |
License Number: | PA9105167 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Primary Care |
Taxonomy Definition: |