Individual
AUSTIN GEORGE DUPONT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
159 N 3RD ST, MACCLENNY, FL 32063-2103
(904) 259-7815
(904) 774-0001
Mailing address
159 N 3RD ST, MACCLENNY, FL 32063-2103
(419) 259-7815
(904) 774-0001
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
ME157220
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
115189000
—
FL
Enumeration date
06/17/2019
Last updated
09/10/2024
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