Healthcare Provider Details

I. General information

NPI: 1578792412
Provider Name (Legal Business Name): OSMANY DUANY MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/14/2009
Last Update Date: 08/30/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

86 W UNDERWOOD ST SUITE 201
ORLANDO FL
32806-1110
US

IV. Provider business mailing address

86 W UNDERWOOD ST SUITE 201
ORLANDO FL
32806-1110
US

V. Phone/Fax

Practice location:
  • Phone: 321-841-5142
  • Fax: 407-648-3686
Mailing address:
  • Phone: 321-841-5142
  • Fax: 407-648-3686

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number01071360A
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: