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NPI Code Detail

MEDICARE: DUCKENS LOUIS

MEDICARE:   DUCKENS  LOUIS
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
1225700000XMassage TherapistMA33018FL

General Provider Information

NPI Number : 1477331510
Entity Type Code : Individual
Provider Name (Legal Business Name) : DUCKENS LOUIS
Provider Business Mailing Address
First Line : 6118 SEVEN SPRINGS BLVD APT 37D
Second Line :
City : GREENACRES
State : FL
Zip : 33463-1613
Country : US
Telephone Number : 561-704-4303
Fax Number :
Provider Business Practice Location Address
First Line : 5700 LAKE WORTH RD STE 201-H
Second Line :
City : GREENACRES
State : FL
Zip : 33463-3204
Country : US
Telephone Number : 561-704-4303
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/19/2023
Last Update Date : 09/19/2023

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Directions to “ DUCKENS LOUIS ” Practice Location

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