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NPI Code Detail

MEDICARE: CHRISLOR DOUCEUR

MEDICARE:   CHRISLOR  DOUCEUR
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1374U00000XHome Health Aide

General Provider Information

NPI Number : 1154054500
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHRISLOR DOUCEUR
Provider Business Mailing Address
First Line : 3547 ROCK ROYAL DR
Second Line :
City : HOLIDAY
State : FL
Zip : 34691-1166
Country : US
Telephone Number : 813-295-4137
Fax Number :
Provider Business Practice Location Address
First Line : 3547 ROCK ROYAL DR
Second Line :
City : HOLIDAY
State : FL
Zip : 34691-1166
Country : US
Telephone Number : 813-295-4137
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/04/2022
Last Update Date : 07/04/2022

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Directions to “ CHRISLOR DOUCEUR ” Practice Location

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