Douglas, Desiree A

Douglas, Desiree A is an individual health care provider with primary practice located at 13908 Lakeshore Blvd Ste 250 , Hudson FL 34667-1492. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Gerontology, which is considered as her primary health care specialty. Douglas, Desiree A can be contacted via phone (727) 846-9419.

Contact Information

Primary practice address
13908 Lakeshore Blvd Ste 250 Hudson FL 34667-1492
Phone: (727) 846-9419
Fax: (727) 848-6200
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Gerontology 363LG0600X RN9337405 Florida
Physician Assistants & Advanced Practice Nursing Providers / Gerontology 363LG0600X APRN11011189 Florida

Profile Details

NPI number 1740916949
LBN Legal business name Douglas, Desiree A
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 29th, 2022
Last updated Jan 12th, 2023 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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