Organization Active NPI

George T. Duvall III MD PA

  • Critical Care Medicine (Internal Medicine) Physician
  • Vero Beach, FL
National Provider Identifier
1508167073
Registry record updated Dec 2, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Care Medicine (Internal Medicine) PhysicianTaxonomy code 207RC0200X
License
ME0027970 Issued in FL
Legal business name
GEORGE T. DUVALL III MD PA
Practice address
2312 20TH Ave
Vero Beach, FL 32960
Phone
(772) 562-1275
Fax
(772) 562-4630
NPI assigned
Nov 15, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2011

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

Authorized official

Name
Dr. George T Duvall III, MD
Title
President
Phone
(772) 562-1275

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Medicine (Internal Medicine) PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207RC0200X ME0027970 FL Primary
Nephrology PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207RN0300X ME0027970 FL

Addresses

Primary practice location

2312 20TH Ave
Vero Beach, FL 32960

Mailing address

2312 20TH Ave
Vero Beach, FL 32960
Phone (772) 562-1275

National Provider Directory

National Provider Directory

Locations

2312 20th Ave
Vero Beach, FL 32960
Phone (772) 562-1275

NPI Registry JSON

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

{
    "created_epoch": "1289779200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1322784000000",
    "number": "1508167073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2312 20TH AVE",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "32960",
            "telephone_number": "772-562-1275",
            "fax_number": "772-562-4630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2312 20TH AVE",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "32960",
            "telephone_number": "772-562-1275",
            "fax_number": "772-562-4630"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GEORGE T. DUVALL III MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-15",
        "last_updated": "2011-12-02",
        "status": "A",
        "authorized_official_last_name": "DUVALL",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "772-562-1275",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RC0200X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "FL",
            "license": "ME0027970",
            "primary": true
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": "FL",
            "license": "ME0027970",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vero Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2011; 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.