Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2084N0402X | Child Neurologist | ME22710 | FL |
NPI | 1033351317 |
---|---|
Provider Name | Danilo Augusto Duenas |
First Address | Jensen Beach, FL 34957 |
Second Address | Jensen Beach, FL 34957 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 01/04/2009 |
Last Update Date | 01/04/2009 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
D59949 | (02) | FL |