Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 213ES0103X | Foot & Ankle Surgery | PO3632 | FL |
NPI | 1073808200 |
---|---|
Provider Name | Dr. Deandrea Yvonne Duffus |
First Address | Debary, FL 32753-0730 |
Second Address | Debary, FL 32713-2717 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/06/2011 |
Last Update Date | 11/05/2021 |