Provider Demographics
NPI:1255951844
Name:DUFFY, PATRICK (CAP)
Entity type:Individual
Prefix:
First Name:PATRICK
Middle Name:
Last Name:DUFFY
Suffix:
Gender:M
Credentials:CAP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:19 SE WENONA AVE
Mailing Address - Street 2:
Mailing Address - City:OCALA
Mailing Address - State:FL
Mailing Address - Zip Code:34471-2222
Mailing Address - Country:US
Mailing Address - Phone:352-572-4384
Mailing Address - Fax:
Practice Address - Street 1:19 SE WENONA AVE
Practice Address - Street 2:
Practice Address - City:OCALA
Practice Address - State:FL
Practice Address - Zip Code:34471-2222
Practice Address - Country:US
Practice Address - Phone:352-572-4384
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-04-23
Last Update Date:2020-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)