YANIQUE DUVAL MD PA
Ambulatory Health at Prima Vista Blvd, Fort Pierce, FL

License number
Florida 1956AD813301
Category
Ambulatory Health
Type
Rehabilitation, Substance Use Disorder
Owner
Name: MRS. EDELYNE ROZEFORT RN
Title: VICE-PRESIDENT
Phone: (561) 687-1304
Address
Address 2
518 SW Prima Vista Blvd, Fort Pierce, FL 34983
2247 Palm Beach Lakes Blvd Suite #108, West Palm Beach, FL 33409
National Provider ID: 1346663879
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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YANIQUE DUVAL, M.D., PA

2247 Palm Bch Lk Blvd SUITE 108, West Palm Beach, FL 33409

Industry:
Medical Doctor's Office
Doing business as:
Duval Health Center
Registration:
Feb 21, 2006
Phone:
(561) 687-1304 (Phone)
State ID:
P06000026955
Business type:
Florida Profit Corporation
Manager, Managing Members:
Yanique Duval (Director), 7446 Brunswick Cir, Boynton Beach, FL 33472 (Physical),Willy Francois Managing Member, inactive,Gilbert Noe Managing Member, inactive,...
Agent:
Rozefort, Edelyne,7446 Brunswick Cir, Boynton Beach, FL 33472 (Physical)
EIN:
204388133

Yanique Duval, M.D., PA

518 SW Prima Vis Blvd, Fort Pierce, FL 34983

Status:
Inactive
Industry:
Medical Doctor's Office
Medical Doctor, President, Principal, Psychiatry:
Yanique Duval Medical Doctor, President, Principal, Psychiatry, inactive

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