| Donna L Ducille, DO | |
|
6037 Kimberly Blvd, North Lauderdale, FL 33068-2811 | |
| (954) 379-8994 | |
| Not Available |
| Full Name | Donna L Ducille |
|---|---|
| Gender | Female |
| Speciality | Family Medicine |
| Location | 6037 Kimberly Blvd, North Lauderdale, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629020631 | NPI | - | NPPES |
| 260352700 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | OS8172 (Florida) | Primary |
| Entity Name | Genesis Community Health, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1447578125 PECOS PAC ID: 7012033384 Enrollment ID: O20110112000690 |
| Mailing Address | Practice Location Address |
|---|---|
| Donna L Ducille, DO 1395 Nw 167th St, 142, Miami, FL 33169-5742 Ph: (954) 472-2999 | Donna L Ducille, DO 6037 Kimberly Blvd, North Lauderdale, FL 33068-2811 Ph: (954) 379-8994 |
Elyn Eliezer Lanfranco Delgado, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 6037 Kimberly Blvd, North Lauderdale, FL 33068 Phone: 954-379-8994 Fax: 954-289-4682 | |
Mamuna Faizi, Family Medicine Medicare: Medicare Enrolled Practice Location: 6037 Kimberly Blvd, North Lauderdale, FL 33068 Phone: 954-379-8994 | |
Hubert J Cantave, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 6037 Kimberly Blvd, North Lauderdale, FL 33068 Phone: 954-379-8994 | |
Yahaida Rimola-dejesus, DO Family Medicine Medicare: Medicare Enrolled Practice Location: 6037 Kimberly Blvd, North Lauderdale, FL 33068 Phone: 954-379-8994 Fax: 954-289-4682 | |
Aaron Pascual, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 6037 Kimberly Blvd, North Lauderdale, FL 33068 Phone: 954-379-8994 | |
Brown Lozier, Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 2333 Sw 82nd Way, North Lauderdale, FL 33068 Phone: 954-658-8764 |