Dual Healthcare Services LLC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

DUAL HEALTHCARE SERVICES LLC

Practice address

815 W 6TH St
Lakeland, FL 33805-4200

Phone

(863) 640-8161

NPI assigned

Mar 26, 2024

Last updated

Mar 26, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ronnie Moore, PMHNP-BC, AGNP-C, NP

Title

Ceo

Phone

(863) 669-5654

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1711411200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1711411200000",
    "number": "1942050570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "815 W 6TH ST",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338054200",
            "telephone_number": "863-640-8161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "815 W 6TH ST",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338054200",
            "telephone_number": "863-640-8161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DUAL HEALTHCARE SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-26",
        "last_updated": "2024-03-26",
        "certification_date": "2024-03-26",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "RONNIE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "863-669-5654",
        "authorized_official_credential": "PMHNP-BC, AGNP-C, NP"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ivan Drummer
• Latasha N Drummond
• Erin Nicole Drury
• Elizabeth Swengros Dry, PA
• Anh Du
• Yalixis Duarte
• Shivam Dubey, MD
• Madison Dubil
• Michele Duckstein, RN
• Richard A Dudrak II, MD

• Psychiatric/Mental Health Nurse Practitioner in Lakeland, FL
• Providers in Lakeland, FL by specialty
• Psychiatric/Mental Health Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2024; 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.