| Ms Tara Jo Duquette, PA-C | |
|
4002 Sun City Center Blvd Unit 102, Sun City Center, FL 33573-5208 | |
| (813) 634-1455 | |
| (813) 642-8355 |
| Full Name | Ms Tara Jo Duquette |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 26 Years |
| Location | 4002 Sun City Center Blvd Unit 102, Sun City Center, Florida |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427094994 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | PA9101236 (Florida) | Primary |
| 363AM0700X | Physician Assistant - Medical | PA9101236 (Florida) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Residential Home Health Of Wc Fl | Palmetto, FL | Home health agency |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Aqua Dermatology Of Florida, Pa | 1153390414 | 184 |
| Entity Name | Aqua Dermatology of Florida, PA |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1538270335 PECOS PAC ID: 1153390414 Enrollment ID: O20041002000097 |
| Entity Name | Leavitt Medical Associates of Florida Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1083872535 PECOS PAC ID: 4688579311 Enrollment ID: O20050228000737 |
| Entity Name | Florida Medical Specialists LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1750399598 PECOS PAC ID: 5799786687 Enrollment ID: O20070726000554 |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Tara Jo Duquette, PA-C 900 Village Square Xing Ste 290, Palm Beach Gardens, FL 33410-4552 Ph: (239) 313-2517 | Ms Tara Jo Duquette, PA-C 4002 Sun City Center Blvd Unit 102, Sun City Center, FL 33573-5208 Ph: (813) 634-1455 |
Mr. Mitchell Costin Mcdowell, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 4016 State Road 674, Sun City Center, FL 33573 Phone: 813-634-3301 |
Jennifer Lynn Horkan, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 4031 Upper Creek Dr, Sun City Center, FL 33573 Phone: 813-633-2733 |
Mr. Mark R Winer, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 4031 Upper Creek Dr, Sun City Center, FL 33573 Phone: 813-634-2733 Fax: 813-634-8606 |
Mr. John J Mahany Jr., PA C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 4031 Upper Creek Dr, Sun City Center, FL 33573 Phone: 813-633-2733 Fax: 813-642-0367 |
Eduardo Manuel Vazquez, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 4031 Upper Creek Dr, Sun City Center, FL 33573 Phone: 813-633-2733 |
Leslee E Baute, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 4002 Sun City Center Blvd, Unit 102, Sun City Center, FL 33573 Phone: 813-634-1455 Fax: 813-642-8355 |
Stefan Trimarco, PA0C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 105 Commercial Center Dr, Sun City Center, FL 33573 Phone: 941-504-4210 |