GAVAN PATRICK DUFFY


Address: 10475 Centurion Pkwy N, Suite 220, Jacksonville, FL 32256-5003
Phone: 9046340640

GAVAN PATRICK DUFFY (NPI# 1265422182) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1265422182
Entity Type Individual
Full Name GAVAN PATRICK DUFFY
Credential M.D.
Practice Address 10475 Centurion Pkwy N
Suite 220
Jacksonville
FL 32256-5003
Mailing Address 6500 Bowden Rd
Suite 103
Jacksonville
FL 32216-8070
Practice Telephone 9046340640
Practice Fax Number 9046340203
Mailing Telephone 9046340640
Mailing Fax Number 9046340203
Enumeration Date 2005-10-22
Last Update Date 2016-07-26
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 207X00000X Orthopaedic Surgery ME80485 FL Allopathic & Osteopathic Physicians
Y 207XS0114X Orthopaedic Surgery
Specialization: Adult Reconstructive Orthopaedic Surgery
ME80485 FL Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
FL BLUECROSS/BLUESHIELD 35366 01
FL RAILROAD MEDICARE 200038627 01
FL 268063700 05

Office Location

Street Address 10475 CENTURION PKWY N
SUITE 220
City JACKSONVILLE
State FL
Zip Code 32256-5003

Providers in the same location

NPI Name Taxonomy Address Enumeration
1265438493 James Douglas Green Jr. Specialist 10475 Centurion Pkwy N, Ste 303, Jacksonville, FL 32256-5003 2005-06-22
1285170282 Kelli D. Williams Physician Assistant 10475 Centurion Pkwy N, Suite 104, Jacksonville, FL 32256-5003 2017-01-13
1235593641 Ryan M Funderburk Audiologist 10475 Centurion Pkwy N, Suite 303, Jacksonville, FL 32256-5003 2016-04-12
1275998908 Se Orthopedic Specialists Non-Pharmacy Dispensing Site 10475 Centurion Pkwy N, Suite 220, Jacksonville, FL 32256-5003 2015-12-23
1821479650 Kristen Edenfield Audiologist 10475 Centurion Pkwy N, #303, Jacksonville, FL 32256-5003 2015-06-17
1952789547 Christopher Perez De Corcho Physical Therapist 10475 Centurion Pkwy N, #304, Jacksonville, FL 32256-5003 2015-05-14
1588059083 Krista L Boniecki Physical Therapist 10475 Centurion Pkwy N, Suie 220, Jacksonville, FL 32256-5003 2015-04-01
1679970990 Paul D Sturney Physician Assistant 10475 Centurion Pkwy N, Suite 220, Jacksonville, FL 32256-5003 2014-12-02
1326440801 Healthcore Wellness, P.a. Chiropractor 10475 Centurion Pkwy N, Suite 201, Jacksonville, FL 32256-5003 2014-09-16
1902213770 Tonya Goodson Nurse Practitioner 10475 Centurion Pkwy N, #203, Jacksonville, FL 32256-5003 2014-07-14
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1841890464 Alice Sanchez Dietitian, Registered 7643 Gate Parkway, Suite 104-1128, Jacksonville, FL 32256 2020-11-01
1093327702 Oaktree Dental LLC Clinic/Center 14595 Philips Highway, Jacksonville, FL 32256 2020-08-24
1538787866 Tywanna Council Massage Therapist 4720 Salisbury Road #102, Jacksonville, FL 32256 2020-07-13
1275155368 Christy Orellana Social Worker 5011 Gate Parkway Bldg 100 Suite 100, Jacksonville, FL 32256 2020-05-11
1376175117 Diane Stover Case Manager/Care Coordinator 7001 A. C. Skinner Parkway, Jacksonville, FL 32256 2020-02-10
1982235859 Sandra Josefina Baez Nunez Nurse Practitioner 10739 Deerwood Park Blvd, Suite 200, Jacksonville, FL 32256 2020-01-30
1205476496 Point Meadows Dental Center, Inc. Dentist 10915 Baymeadows Rd, #106, Jacksonville, FL 32256 2020-01-15
1598324113 Dhaval Yogeshkumar Shah Dentist 8206 Philips Hwy., Suite 21, Jacksonville, FL 32256 2019-06-07
1003472499 Dade Medical, Inc. Durable Medical Equipment & Medical Supplies 9143 Philips Highway Suite 270, Jacksonville, FL 32256 2019-05-13
1003479726 Nichole Bashara Behavior Technician 8383 Baymeadows Rd, Jacksonville, FL 32256 2019-04-18
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Taxonomy Information

Taxonomy Code 207XS0114X
Grouping Allopathic & Osteopathic Physicians
Classification Orthopaedic Surgery
Specialization Adult Reconstructive Orthopaedic Surgery

Taxonomy Definition

Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, adult reconstructive orthopaedic surgeons deal with reconstructive procedures such as joint arthroplasty (i.e., hip and knee), osteotomy, arthroscopy, soft-tissue reconstruction, and a variety of other adult reconstructive surgical procedures.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. Separate board certification is not currently offered.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1518233956 Joshua Dov Rogozinski Orthopaedic Surgery 3716 University Blvd S., Suite 3, Jacksonville, FL 32216 2012-03-29
1467071829 Kim Orthopedic LLC Orthopaedic Surgery 2 Shircliff Way Ste 605, Jacksonville, FL 32204-4762 2020-04-15
1235533829 Heekin Clinic LLC Orthopaedic Surgery 2 Shircliff Way, Ste 605 Depaul Building, Jacksonville, FL 32204-4753 2014-10-10
1427465145 Heekin Orthopedic Joint Replacement Specialist Orthopaedic Surgery 2627 Riverside Ave, 3rd Floor, Jacksonville, FL 32204-4712 2014-07-15

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1891289377 Ortho Florida, LLC Orthopaedic Surgery 5130 Linton Blvd Ste B2, Delray Beach, FL 33484-6595 2018-06-19
1801318423 Royal Palm Beach Rehab, Corp Orthopaedic Surgery 600 University Blvd Ste 104, Jupiter, FL 33458-2778 2017-07-14
1902255854 Carlos Segovia Orthopaedic Surgery 17779 Sw 2nd Street, Pembroke Pines, FL 33029 2016-06-10
1437520509 Timothy Joseeph Forness Orthopaedic Surgery 3802 Dogwood Ave, Palm Beach Gardens, FL 33410-4755 2015-10-14
1275927766 Robert O'leary Orthopaedic Surgery 1150 Campo Sano Ave Fl 2, Coral Gables, FL 33146-1174 2015-03-24
1134548019 Alexander David Gaukhman Orthopaedic Surgery 670 Glades Rd Ste 300, Boca Raton, FL 33431-6464 2014-04-08
1124379706 Elvis Grandic Md Pa Orthopaedic Surgery 7744 Dawson Ct, Lake Worth, FL 33467-7719 2012-09-24
1104184951 Thomas Jacob Seales Orthopaedic Surgery 2021 Nw 136th Ave Apt 284, Sunrise, FL 33323-5375 2012-04-30
1558629527 Tri-county Orthopaedic Center, Pa Orthopaedic Surgery 765 Hwy 466, Lady Lake, FL 32159-6340 2012-04-27
1356636591 Obinna Ogechukwu Adigweme Orthopaedic Surgery 2699 Lee Rd Ste 100, Winter Park, FL 32789 2011-06-16
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Competitor

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City JACKSONVILLE
Zip Code 32256

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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