Organization Active NPI

Duclos Dessalines

Doing business as Duc Dessalines MD PA

  • Legal Medicine
  • Greenacres, FL
National Provider Identifier
1639579923
Registry record updated Aug 25, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Legal MedicineTaxonomy code 173000000X
License
ME 102516 Issued in FL
Legal business name
DUCLOS DESSALINES
Doing business as
Duc Dessalines MD PA
Practice address
4519 Lake Worth Rd
Greenacres, FL 33463-3449
Phone
(561) 432-8300
NPI assigned
Aug 25, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2014

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

Authorized official

Name
Duclos Dessalines, MD
Title
MD
Phone
(561) 703-3716

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Legal MedicineGroup: 193400000X SINGLE SPECIALTY GROUP 173000000X ME 102516 FL Primary

Addresses

Primary practice location

4519 Lake Worth Rd
Greenacres, FL 33463-3449

Mailing address

4519 Lake Worth Rd
Greenacres, FL 33463-3449
Phone (561) 432-8300

Other identifiers 1

IdentifierTypeStateIssuer
001769900MedicaidFL

Other names 1

  • Duc Dessalines MD PA Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1408924800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1408924800000",
    "number": "1639579923",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4519 LAKE WORTH RD",
            "city": "GREENACRES",
            "state": "FL",
            "postal_code": "334633449",
            "telephone_number": "561-432-8300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4519 LAKE WORTH RD",
            "city": "GREENACRES",
            "state": "FL",
            "postal_code": "334633449",
            "telephone_number": "561-432-8300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DUCLOS DESSALINES",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-25",
        "last_updated": "2014-08-25",
        "status": "A",
        "authorized_official_last_name": "DESSALINES",
        "authorized_official_first_name": "DUCLOS",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "561-703-3716",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "173000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Legal Medicine",
            "state": "FL",
            "license": "ME 102516",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001769900",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Duc Dessalines MD PA",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Greenacres, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 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.