Provider Demographics
NPI:1427133271
Name:FLORINA A. DUAZO, MD, PA
Entity type:Organization
Organization Name:FLORINA A. DUAZO, MD, PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:FLORINA
Authorized Official - Middle Name:A
Authorized Official - Last Name:DUAZO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:956-524-2978
Mailing Address - Street 1:645 VILLA MARIA BLVD
Mailing Address - Street 2:SUITE B
Mailing Address - City:BROWNSVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:78520-6341
Mailing Address - Country:US
Mailing Address - Phone:956-542-2978
Mailing Address - Fax:
Practice Address - Street 1:645 VILLA MARIA BLVD
Practice Address - Street 2:SUITE B
Practice Address - City:BROWNSVILLE
Practice Address - State:TX
Practice Address - Zip Code:78520-6341
Practice Address - Country:US
Practice Address - Phone:956-542-2978
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-26
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXJ9002207RE0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & MetabolismGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX00193RMedicare ID - Type UnspecifiedGROUP NUMBER