Johana F. Duque PA
Medical Physician Assistant in Lauderdale Lakes, FL(View on Map)
Full Name
Johana F Duque PA
NPI Number
1497057350
NPI Type
Individual Provider
Gender
Female
Enumeration Date
11/29/2010
Specialties
(Taxonomies)Licenses
State
Florida
License Number
PA9105593
Contact
Information
Purpose
Mailing
Location
Address
4850 W OAKLAND PARK BLVD
4850 W OAKLAND PARK BLVD
City
Lauderdale Lakes
Lauderdale Lakes
State
FL
FL
Postal Code
33313-7260
33313-7260
Country
US
US
Telephone Number
(954) 735-3535
(954) 735-3535
Identifiers
Identifier
009196800
Identifier State
FL
Identifier Issuer
Unknown
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 07/20/2016