| Mr Carl Barry Dufour, MSN, FNP-BC | |
|
911 S Main St, Trenton, FL 32693-3239 | |
| (352) 463-2374 | |
| (352) 463-2726 |
| Full Name | Mr Carl Barry Dufour |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner - Family |
| Location | 911 S Main St, Trenton, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912214099 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | ARNP9362451 (Florida) | Primary |
| Entity Name | Doctors Memorial Hospital Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1285709451 PECOS PAC ID: 5092614503 Enrollment ID: O20040114000009 |
| Entity Name | Solantic/south Florida Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1851344378 PECOS PAC ID: 5496762171 Enrollment ID: O20060321000740 |
| Entity Name | Solantic Of Jacksonville Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1407893100 PECOS PAC ID: 1052409307 Enrollment ID: O20071120000271 |
| Entity Name | Hma-solantic Joint Venture Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1689812109 PECOS PAC ID: 6002955788 Enrollment ID: O20091209000716 |
| Entity Name | Shands-solantic Joint Venture Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1558595223 PECOS PAC ID: 4183764178 Enrollment ID: O20091223000343 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Carl Barry Dufour, MSN, FNP-BC 911 S Main St, Trenton, FL 32693-3239 Ph: (352) 463-2374 | Mr Carl Barry Dufour, MSN, FNP-BC 911 S Main St, Trenton, FL 32693-3239 Ph: (352) 463-2374 |
Ms. Jennifer Leigh Banner, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 103 Se 3rd St, Trenton, FL 32693 Phone: 352-577-5252 Fax: 888-522-4631 | |
Pamela Lynne Carroll, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 728 Ne 7th St, Trenton, FL 32693 Phone: 385-487-0064 | |
Nancy G. Rowell-crane, NP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 103 Se 3rd St, Trenton, FL 32693 Phone: 352-577-5252 Fax: 352-329-4313 | |
Kenneth Smith, NP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 6480 Se 55th St, Trenton, FL 32693 Phone: 352-284-5151 | |
Peggy Ladd, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 821 S Main St, Trenton, FL 32693 Phone: 352-463-6292 Fax: 352-463-4507 | |
Cathy Cassube Underhill, ARNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 911 S Main St, Trenton, FL 32693 Phone: 352-463-2374 Fax: 352-463-4507 | |
Mrs. Corinne Riley, PMHNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 103 Se 3rd St, Trenton, FL 32693 Phone: 352-577-5252 |