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Individual

CHARLES DANIEL DUVA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1055 SAXON BLVD, ORANGE CITY, FL 32763-8468
(386) 943-4522
Mailing address
PO BOX 9430, DAYTONA BEACH, FL 32120-9430

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
ME27371
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
036413499
FL
Enumeration date
05/25/2006
Last updated
08/23/2007
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