Yanique Duval Md Pa

NPI 1346663879 - Clinic/Center - 261QR0405X

NPI Details
NPI 1346663879
Enumeration Date 02/04/2014
Last Updated 02/04/2014
Entity Type Healthcare Provider
Active Over 2 years ago
Authorized Information
Name EDELYNE EDELYNE
Position VICE-PRESIDENT
Phone (561) 687-1304
Fax (561) 687-1306
Practice Location
518 SW PRIMA VISTA BLVD
PORT ST LUCIE FL, 34983, US
Phone (561) 687-1304
Fax (561) 687-1306
Business Location
2247 PALM BEACH LAKES BLVD
SUITE # 108
WEST PALM BEACH FL, 33409-3470, US
Phone (561) 687-1304
Fax (561) 687-1306
Toxanomy
Taxonomy Code 261QR0405X
License State Florida
License Number 1956AD813301
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According to our database, Yanique Duval Md Pa NPI is 1346663879, taxonomy code is 261QR0405X and license number is 1956AD813301, license state is located at Florida. Yanique Duval Md Pa physically located at 518 Sw Prima Vista Blvd, Port St Lucie FL, 34983. NPI Number 1033115704 has the healthcare provider type.

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1346663879 NPI number is provided on an as is basis without warranty of any kind. 1346663879 is maintained by the National Plan & Provider Enumeration System. The contents of Yanique Duval Md Pa are for informational purposes only.