NPIMap

Organization Active NPI

Duo Medical Group of Florida LLC

  • Geriatric Medicine (Internal Medicine) Physician
  • Port Richey, FL
National Provider Identifier
1043097769
Registry record updated Sep 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X
Legal business name
DUO MEDICAL GROUP OF FLORIDA LLC
Practice address
7421 Ridge Rd Ste 105
Port Richey, FL 34668-6935
Phone
(855) 386-2799
NPI assigned
Sep 14, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Brandalynne Flemming
Title
RCM and Credentialing Manager
Phone
(814) 470-3634

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Medicine (Internal Medicine) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RG0300X Primary
Nephrology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RN0300X

Addresses

Primary practice location

7421 Ridge Rd Ste 105
Port Richey, FL 34668-6935

Mailing address

PO Box 530322
Atlanta, GA 30353-0322
Phone (855) 386-2799

Other practice location 1

980 N Michigan Ave Ste 1998
Chicago, IL 60611-7504
Phone (855) 386-2799

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240125000630 FL Part B Supplier - Clinic/Group Practice 1153774278 Receives reassigned benefits from 14 practitioners
Practice locations: Port Richey, FL

National Provider Directory

National Provider Directory

Locations

7421 Ridge Rd
Ste 105
Port Richey, FL 34668
Phone (310) 940-4171

Practitioners & affiliated clinicians

Practitioners 14

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 14

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1694649600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1759104000000",
    "number": "1043097769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 530322",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303530322",
            "telephone_number": "855-386-2799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7421 RIDGE RD STE 105",
            "city": "PORT RICHEY",
            "state": "FL",
            "postal_code": "346686935",
            "telephone_number": "855-386-2799"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "980 N Michigan Ave Ste 1998",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606117504",
            "country_code": "US",
            "telephone_number": "855-386-2799",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "DUO MEDICAL GROUP OF FLORIDA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-14",
        "last_updated": "2025-09-29",
        "certification_date": "2025-09-29",
        "status": "A",
        "authorized_official_last_name": "FLEMMING",
        "authorized_official_first_name": "BRANDALYNNE",
        "authorized_official_title_or_position": "RCM AND CREDENTIALING MANAGER",
        "authorized_official_telephone_number": "814-470-3634"
    },
    "taxonomies": [
        {
            "code": "207RG0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Richey, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.