Yanique Duval MD PA

Primary specialty

Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X

License

1956AD813301 Issued in FL

Legal business name

YANIQUE DUVAL MD PA

Practice address

518 SW Prima Vista Blvd
Port St Lucie, FL 34983

Phone

(561) 687-1304

Fax

(561) 687-1306

NPI assigned

Feb 4, 2014

Organization subpart

No

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

Authorized official

Name

Mrs. Edelyne Rozefort, RN

Title

Vice-President

Phone

(561) 687-1304

Specialties & licenses 1

Addresses

Other names 1

• DUVAL HEALTH CENTER Doing business as

Tax ID family

Duval Health Center2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Yaniue Duval MD PA

  • Substance Use Disorder Rehabilitation Clinic/Center
  • West Palm Beach, FL
  • NPI 1396176061
  NPD tax ID

Practitioners 1

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

• Yanique Duval, M.D.

  • Psychiatry Physician
  • West Palm Beach, FL
  • NPI 1205845757
  NPD (past)

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

{
    "created_epoch": "1391472000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1391472000000",
    "number": "1346663879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2247 PALM BEACH LAKES BLVD",
            "address_2": "SUITE # 108",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334093470",
            "telephone_number": "561-687-1304",
            "fax_number": "561-687-1306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "518 SW PRIMA VISTA BLVD",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "34983",
            "telephone_number": "561-687-1304",
            "fax_number": "561-687-1306"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YANIQUE DUVAL MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-04",
        "last_updated": "2014-02-04",
        "status": "A",
        "authorized_official_last_name": "ROZEFORT",
        "authorized_official_first_name": "EDELYNE",
        "authorized_official_title_or_position": "VICE-PRESIDENT",
        "authorized_official_telephone_number": "561-687-1304",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": "FL",
            "license": "1956AD813301",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DUVAL HEALTH CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Xpress Urgent Care, LLC.
• Xpress Urgent Care, LLC.
• Mya Yager
• Lisa Akiye Yamamoto, D.O.
• Josee Yang, D.C.
• Yanique Duval MD PA
• Medina Saida Yasin, RN
• Manhal Yazji, D.D.S.
• Michael F Ybern
• Heather Yeckes-Rodin, M.D.

• Substance Use Disorder Rehabilitation Clinic/Center in Port St Lucie, FL
• Providers in Port St Lucie, FL by specialty
• Substance Use Disorder Rehabilitation Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2014; 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.