Provider Demographics
NPI:1437139573
Name:DUFFY, DANIEL MICHAEL (MD)
Entity Type:Individual
Prefix:DR
First Name:DANIEL
Middle Name:MICHAEL
Last Name:DUFFY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:10312 SCOTT MILL RD
Mailing Address - Street 2:
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32257-6251
Mailing Address - Country:US
Mailing Address - Phone:813-374-7391
Mailing Address - Fax:813-374-7313
Practice Address - Street 1:2700 W DR MARTIN LUTHER KING JR BLVD STE 200
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33607-6359
Practice Address - Country:US
Practice Address - Phone:904-399-5620
Practice Address - Fax:904-399-5645
Is Sole Proprietor?:No
Enumeration Date:2006-01-17
Last Update Date:2022-01-28
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FLME90002207VE0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VE0102XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyReproductive Endocrinology