NPIMap

Organization Active NPI

Yaniue Duval MD PA

Doing business as Duval Health Center

  • Substance Use Disorder Rehabilitation Clinic/Center
  • West Palm Beach, FL
National Provider Identifier
1396176061
Registry record updated Dec 26, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X
License
1550AD813301 Issued in FL
Legal business name
YANIUE DUVAL MD PA
Doing business as
Duval Health Center
Practice address
2247 Palm Beach Lakes Blvd
108
West Palm Beach, FL 33409-3470
Phone
(561) 687-1304
Fax
(561) 687-1306
NPI assigned
Dec 6, 2013
Last updated
Dec 26, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 26, 2013

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

Authorized official

Name
Mrs. Edelyne Rozefort, RN
Title
Office Manager
Phone
(561) 687-1304

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X 1550AD813301 FL Primary

Addresses

Primary practice location

2247 Palm Beach Lakes Blvd
108
West Palm Beach, FL 33409-3470

Mailing address

2247 Palm Beach Lakes Blvd
108
West Palm Beach, FL 33409-3470
Phone (561) 687-1430

Other identifiers 1

IdentifierTypeStateIssuer
273843100MedicaidFL

Other names 1

  • DUVAL HEALTH CENTER Doing business as

National Provider Directory

National Provider Directory
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.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1386288000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1388016000000",
    "number": "1396176061",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2247 PALM BEACH LAKES BLVD",
            "address_2": "108",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334093470",
            "telephone_number": "561-687-1430",
            "fax_number": "561-687-1306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2247 PALM BEACH LAKES BLVD",
            "address_2": "108",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334093470",
            "telephone_number": "561-687-1304",
            "fax_number": "561-687-1306"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YANIUE DUVAL MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-06",
        "last_updated": "2013-12-26",
        "status": "A",
        "authorized_official_last_name": "ROZEFORT",
        "authorized_official_first_name": "EDELYNE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "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": "1550AD813301",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "273843100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DUVAL HEALTH CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in West Palm Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2013; 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.