Organization
YANIQUE DUVAL MD PA
Active
Other names
Duval Health Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. YANIQUE DUVAL M.D (PRESIDENT)
(561) 687-1304
Entity
Organization
Contact information
Practice address
518 SW PRIMA VISTA BLVD, PORT-ST-LUCIE, FL 34983-0000
(772) 344-2293
(772) 344-2253
Mailing address
518 SW PRIMA VISTA BLVD, PORT-ST-LUCIE, FL 34983-0000
(772) 344-2293
(772) 344-2253
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
ME92587
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
273843100
—
FL
Enumeration date
12/15/2006
Last updated
08/10/2010
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