| 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 - Psychiatry |
| 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 | This clinic does not participate in Medicare Program. |
| 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 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528120219 | NPI | - | NPPES |
| 273843100 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | ME92587 (Florida) | Primary |