Organization Active NPI

Yvonne D Duffe DO PA

  • Family Medicine Physician
  • New Smyrna Beach, FL
National Provider Identifier
1740351550
Registry record updated Apr 23, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
OS5113 Issued in FL
Legal business name
YVONNE D DUFFE DO PA
Practice address
510 Palmetto St
New Smyrna Beach, FL 32168
Phone
(386) 428-3243
Fax
(386) 428-9929
NPI assigned
Nov 13, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2019

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

Authorized official

Name
Yvonne Desiree Duffe, DO
Title
Bussiness Owner/Physician
Phone
(386) 428-3243

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X OS5113 FL Primary

Addresses

Primary practice location

510 Palmetto St
New Smyrna Beach, FL 32168

Mailing address

510 Palmetto St
New Smyrna Beach, FL 32168-7325
Phone (386) 428-3243

Other practice location 1

10131 W Colonial Dr
Suite 1
Ocoee, FL 34761-4221
Phone (407) 447-9596

Other practice location 2

401 Downing St
New Smyrna Beach, FL 32168
Phone (386) 428-3243

Other practice location 3

401 Downing St
New Smyrna Beach, FL 32168
Phone (386) 428-3243

Other identifiers 1

IdentifierTypeStateIssuer
82926OtherFLBCBS

Other names 1

  • Yvonne D Duffe DO PA Doing business as

National Provider Directory

National Provider Directory

Locations

401 Downing St
New Smyrna Beach, FL 32168
Phone (386) 423-3243

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1163376000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1555977600000",
    "number": "1740351550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "510 PALMETTO ST",
            "city": "NEW SMYRNA BEACH",
            "state": "FL",
            "postal_code": "321687325",
            "telephone_number": "386-428-3243",
            "fax_number": "386-428-9929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "510 PALMETTO ST",
            "city": "NEW SMYRNA BEACH",
            "state": "FL",
            "postal_code": "32168",
            "telephone_number": "386-428-3243",
            "fax_number": "386-428-9929"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10131 W Colonial Dr",
            "address_2": "Suite 1",
            "address_purpose": "LOCATION",
            "city": "Ocoee",
            "state": "FL",
            "postal_code": "347614221",
            "country_code": "US",
            "telephone_number": "407-447-9596",
            "fax_number": "407-447-9597",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "401 Downing St",
            "address_purpose": "LOCATION",
            "city": "New Smyrna Beach",
            "state": "FL",
            "postal_code": "32168",
            "country_code": "US",
            "telephone_number": "386-428-3243",
            "fax_number": "386-428-9929",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "401 Downing St",
            "address_purpose": "LOCATION",
            "city": "New Smyrna Beach",
            "state": "FL",
            "postal_code": "32168",
            "country_code": "US",
            "telephone_number": "386-428-3243",
            "fax_number": "386-428-9929",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "YVONNE D DUFFE DO PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-13",
        "last_updated": "2019-04-23",
        "status": "A",
        "authorized_official_last_name": "DUFFE",
        "authorized_official_first_name": "YVONNE",
        "authorized_official_middle_name": "DESIREE",
        "authorized_official_title_or_position": "BUSSINESS OWNER/PHYSICIAN",
        "authorized_official_telephone_number": "386-428-3243",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "OS5113",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "82926",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Yvonne D Duffe DO PA",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in New Smyrna Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2019; 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.