Provider Demographics
NPI:1285609107
Name:KUGLER, MADELYNNE M (ARNP)
Entity type:Individual
Prefix:
First Name:MADELYNNE
Middle Name:M
Last Name:KUGLER
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:16140 US HIGHWAY 441
Mailing Address - Street 2:
Mailing Address - City:EUSTIS
Mailing Address - State:FL
Mailing Address - Zip Code:32726-6508
Mailing Address - Country:US
Mailing Address - Phone:352-589-6424
Mailing Address - Fax:352-589-6496
Practice Address - Street 1:9836 US HIGHWAY 441
Practice Address - Street 2:
Practice Address - City:LEESBURG
Practice Address - State:FL
Practice Address - Zip Code:34788-3918
Practice Address - Country:US
Practice Address - Phone:352-360-6548
Practice Address - Fax:352-589-6496
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-02-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FLARNP2242552363LX0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LX0001XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerObstetrics & Gynecology