Duval Aps LLC

Primary specialty

Addiction Medicine (Family Medicine) PhysicianTaxonomy code 207QA0401X

Legal business name

DUVAL APS LLC

Practice address

590 Ellis Rd S BLDG 4
Jacksonville, FL 32254-3555

Phone

(904) 800-6563

NPI assigned

Apr 11, 2016

Organization subpart

Yes

Parent organization

APS FLORIDA LLCAs reported in NPPES

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

Authorized official

Name

John Steibrun

Title

Ceo

Phone

(407) 351-7080

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1460332800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1476403200000",
    "number": "1184088650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 MAITLAND CENTER PKWY",
            "address_2": "SUITE 250",
            "city": "MAITLAND",
            "state": "FL",
            "postal_code": "327517224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "590 ELLIS RD S BLDG 4",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322543555",
            "telephone_number": "904-800-6563"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DUVAL APS LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "APS FLORIDA LLC",
        "enumeration_date": "2016-04-11",
        "last_updated": "2016-10-14",
        "status": "A",
        "authorized_official_last_name": "STEIBRUN",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "407-351-7080"
    },
    "taxonomies": [
        {
            "code": "207QA0401X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine, Addiction Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Charles V Duss, M.D.
• Micaela Dusseault
• Annabelle Dutari Tomlinson, CMI-SPANISH
• Kathryn Deanne Dutton, M.A., CCC-SLP
• Lauren K Dutton, MD
• Duval County Health Department
• Duval County Health Department
• Duval County Health Department Pharmacy
• Duval County Orthopedic Associates
• Duval County Public Schools

• Addiction Medicine (Family Medicine) Physician in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Addiction Medicine (Family Medicine) Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.