| Duhaney Medical, P.a. | |
|
9808 Grand Verde Way 802 Boca Raton FL 33428-3516 | |
| (866) 512-5463 | |
| Not Available |
| Full Name | Duhaney Medical, P.a. |
|---|---|
| Speciality | Family Medicine |
| Location | 9808 Grand Verde Way, Boca Raton, Florida |
| Authorized Official Name and Position | Michelle Duhaney (OWNER) |
| Authorized Official Contact | 8665125463 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Duhaney Medical, P.a. 9808 Grand Verde Way 802 Boca Raton FL 33428-3516 Ph: (866) 512-5463 | Duhaney Medical, P.a. 9808 Grand Verde Way 802 Boca Raton FL 33428-3516 Ph: (866) 512-5463 |
| NPI Number | 1629487939 |
|---|---|
| Provider Enumeration Date | 08/12/2014 |
| Last Update Date | 08/12/2014 |
| Medicare PECOS PAC ID | 9133445182 |
|---|---|
| Medicare Enrollment ID | O20150310001107 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629487939 | NPI | - | NPPES |
| 9999999 | Other | FL | COMMERCIAL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Michelle C Duhaney |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1871816835 PECOS PAC ID: 5496911521 Enrollment ID: I20120718000253 |
| Provider Name | Audreylyn Waldo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053859454 PECOS PAC ID: 7113295221 Enrollment ID: I20170614000718 |
| Provider Name | Stacy Kerrian Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952062994 PECOS PAC ID: 4284996497 Enrollment ID: I20220323000592 |
| Provider Name | Zanele Denaro |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033864194 PECOS PAC ID: 1456727486 Enrollment ID: I20221017002275 |
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