| Yanique Duval Md Pa | |
|
518 Sw Prima Vista Blvd Port-st-lucie FL 34983-0000 | |
| (772) 344-2293 | |
| (772) 344-2253 |
| Full Name | Yanique Duval Md Pa |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 518 Sw Prima Vista Blvd, Port-st-lucie, Florida |
| Authorized Official Name and Position | Yanique Duval (PRESIDENT) |
| Authorized Official Contact | 5616871304 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Yanique Duval Md Pa 518 Sw Prima Vista Blvd Port-st-lucie FL 34983-0000 Ph: (772) 344-2293 | Yanique Duval Md Pa 518 Sw Prima Vista Blvd Port-st-lucie FL 34983-0000 Ph: (772) 344-2293 |
| NPI Number | 1528120219 |
|---|---|
| Provider Enumeration Date | 12/15/2006 |
| Last Update Date | 08/10/2010 |
| Medicare PECOS PAC ID | 6103827266 |
|---|---|
| Medicare Enrollment ID | O20070117000051 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528120219 | NPI | - | NPPES |
| 273843100 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | ME92587 (Florida) | Primary |
| Provider Name | Aaron S Dubrinsky |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1932237245 PECOS PAC ID: 6800825944 Enrollment ID: I20050809000247 |
| Provider Name | Yanique Duval |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1205845757 PECOS PAC ID: 2466452123 Enrollment ID: I20070102000343 |
| Provider Name | Amit R Desai |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1639368673 PECOS PAC ID: 5496845273 Enrollment ID: I20100714001029 |
| Provider Name | Erika P Dudley |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1548470305 PECOS PAC ID: 7315107000 Enrollment ID: I20120404000954 |