MEDICARE: PATRICIA LYNN DUFFY CRNA

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
1	367500000X	Certified Registered Nurse Anesthetist	ARNP2100342	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1629067525
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PATRICIA LYNN DUFFY CRNA

Provider Business Mailing Address
First Line	:	PO BOX 1626
Second Line	:
City	:	OCALA
State	:	FL
Zip	:	34478-1626
Country	:	US
Telephone Number	:	352-873-0516
Fax Number	:	352-873-9726

Provider Business Practice Location Address
First Line	:	11377 CORTEZ BLVD
Second Line	:
City	:	BROOKSVILLE
State	:	FL
Zip	:	34613-5409
Country	:	US
Telephone Number	:	352-597-3060
Fax Number	:	352-597-3077

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/14/2005
Last Update Date	:	02/03/2025

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