Healthcare Provider Details

I. General information

NPI: 1487826947
Provider Name (Legal Business Name): JOHN PAUL DUQUE M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/25/2008
Last Update Date: 08/12/2026
Certification Date: 08/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

50 NE 26TH AVE STE 310
POMPANO BEACH FL
33062-5245
US

IV. Provider business mailing address

50 NE 26TH AVE STE 310
POMPANO BEACH FL
33062-5245
US

V. Phone/Fax

Practice location:
  • Phone: 954-900-6610
  • Fax: 954-900-6609
Mailing address:
  • Phone: 954-900-6610
  • Fax: 954-900-6609

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License NumberME102127
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: