Mcduffie, Otis L

Mcduffie, Otis L is an sole proprietor health care provider with primary practice located at 805 Chestnut Dr , Fruitland Park FL 34731-5521. He recently has 2 registered licenses in different health care specialties including Respite Care Facility / Respite Care, Mental Retardation and/or Developmental Disabilities, Nursing Service Related Providers / Adult Companion. Nursing Service Related Providers / Adult Companion is his primary health care specialty. Mcduffie, Otis L can be contacted via phone (352) 434-5229.

Contact Information

Primary practice address
805 Chestnut Dr Fruitland Park FL 34731-5521
Phone: (352) 434-5229
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respite Care Facility / Respite Care, Mental Retardation and/or Developmental Disabilities 385HR2060X
Nursing Service Related Providers / Adult Companion 372600000X

Profile Details

NPI number 1295487098
LBN Legal business name Mcduffie, Otis L
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 22nd, 2022
Last updated Jan 22nd, 2022 - about 3 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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