Individual
IGNACIO GUSTAVO DUARTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
270 S MOON AVE, BRANDON, FL 33511-5711
(813) 571-9988
(813) 571-9922
Mailing address
6006 49TH ST N, SUITE 310, ST PETERSBURG, FL 33709-2148
(727) 490-5040
(727) 490-5045
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
ME93214
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004131200
—
FL
01
—
P01293773
RR MEDICARE
FL
Enumeration date
02/15/2006
Last updated
02/01/2022
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