Provider Demographics
NPI:1134876311
Name:DUANY, DAVID DOUGLAS (MA)
Entity type:Individual
Prefix:MR
First Name:DAVID
Middle Name:DOUGLAS
Last Name:DUANY
Suffix:
Gender:M
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8106 TIBET BUTLER DR
Mailing Address - Street 2:
Mailing Address - City:WINDERMERE
Mailing Address - State:FL
Mailing Address - Zip Code:34786-5612
Mailing Address - Country:US
Mailing Address - Phone:407-748-2710
Mailing Address - Fax:
Practice Address - Street 1:7601 CONROY WINDERMERE RD STE 203
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32835-2688
Practice Address - Country:US
Practice Address - Phone:407-704-1461
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-03-07
Last Update Date:2022-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL19900101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health