Provider Demographics
NPI:1043097769
Name:DUO MEDICAL GROUP OF FLORIDA LLC
Entity Type:Organization
Organization Name:DUO MEDICAL GROUP OF FLORIDA LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VP, CORPORATE INITIATIVES
Authorized Official - Prefix:
Authorized Official - First Name:MEAGHAN
Authorized Official - Middle Name:
Authorized Official - Last Name:JONES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:314-791-0542
Mailing Address - Street 1:980 N MICHIGAN AVE STE 1998
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60611-7504
Mailing Address - Country:US
Mailing Address - Phone:855-386-2799
Mailing Address - Fax:
Practice Address - Street 1:980 N MICHIGAN AVE STE 1998
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60611-7504
Practice Address - Country:US
Practice Address - Phone:855-386-2799
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-09-14
Last Update Date:2023-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrologyGroup - Single Specialty