Female

Ms. Tara J. Duquette PA-C

Physician Assistant in Sun City Center, FL(View on Map)

Full Name

Ms. Tara Jo Duquette PA-C

NPI Number

1427094994

NPI Type

Individual Provider

Gender

Female

Enumeration Date

06/21/2006

Specialties

(Taxonomies)

Code

363A00000X
363AM0700X

Primary Taxonomy

Yes
No

Licenses

State

Florida

License Number

PA9101236

Contact
Information

Purpose

Mailing
Location

Address

900 VILLAGE SQUARE XING STE 290
4002 SUN CITY CENTER BLVD UNIT 102

City

Palm Beach Gardens
Sun City Center

State

FL
FL

Postal Code

33410-4552
33573-5208

Country

US
US

Telephone Number

(239) 313-2517
(813) 634-1455

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 10/28/2022

Provider Address

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