Provider Demographics
NPI:1700415486
Name:DUVALSAINT, PASCALE (MD)
Entity Type:Individual
Prefix:
First Name:PASCALE
Middle Name:
Last Name:DUVALSAINT
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:750 E SAMPLE RD STE 3-6
Mailing Address - Street 2:
Mailing Address - City:POMPANO BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33064-5138
Mailing Address - Country:US
Mailing Address - Phone:954-943-1358
Mailing Address - Fax:
Practice Address - Street 1:750 E SAMPLE RD STE 3-6
Practice Address - Street 2:
Practice Address - City:POMPANO BEACH
Practice Address - State:FL
Practice Address - Zip Code:33064-5138
Practice Address - Country:US
Practice Address - Phone:954-943-1358
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-04-05
Last Update Date:2024-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME158885207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine