Desiree Amelia Duke
Occupational Therapist - Pediatrics
200 Southpark Blvd Ste 201
St Augustine
, Florida 32086-3129
Desiree Amelia Duke
Occupational Therapist - Pediatrics
200 Southpark Blvd Ste 201
St Augustine
, Florida 32086-3129
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About
Features
Specialties
- Occupational Therapist - Pediatrics
Languages spoken
- English
Location
First Address
- Desiree Amelia Duke
- 3901 University Blvd S
- Jacksonville, FL
- Zip : 32216-4312
- Phone :
Second Address
- Desiree Amelia Duke
- 200 Southpark Blvd Ste 201
- St Augustine, FL
- Zip : 32086-3129
- Phone : (904) 417-6236
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 225XP0200X | Occupational Therapist - Pediatrics | 22381 | FL |
National Provider Identifier
| NPI | 1003578766 |
|---|---|
| Provider Name | Desiree Amelia Duke |
| First Address | Jacksonville, FL 32216-4312 |
| Second Address | St Augustine, FL 32086-3129 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 11/10/2021 |
| Last Update Date | 11/10/2021 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.