JOHANA F DUQUE PA
NPI 1497057350
Physician Assistant - Medical in Lauderdale Lakes, FL

Q: What is Johana Duque's NPI number?

The NPI number for Johana Duque is 1497057350. It was assigned to this individual provider in the NPPES registry on November 29, 2010.

Q: What is Johana Duque's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Q: When was this NPI record last updated?

The NPPES record for Johana Duque was last updated on July 20, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since November 29, 2010PECOS Enrolled

4850 W OAKLAND PARK BLVD, 201, LAUDERDALE LAKES, FL 33313(954) 735-3535(954) 735-7908 Get Directions Write a Review

NPPES record last updated: July 20, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Johana F Duque Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JOHANA F DUQUE PA (NPI 1497057350) is an individual medical provider in Lauderdale Lakes, Florida, licensed in Florida (PA9105593) and active in the NPI registry since November 2010. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1497057350

Entity TypeIndividualFemale

Primary Taxonomy363AM0700X

Provider Legal NameJOHANA F DUQUECredential: PA

Location Address4850 W OAKLAND PARK BLVD, 201Lauderdale Lakes, FL 33313-7260

Mailing Address4850 W Oakland Park Blvd, 201Lauderdale Lakes, FL 33313-7260 · (954) 735-3535 · Fax (954) 735-7908

Phone(954) 735-3535

Fax(954) 735-7908

Sole ProprietorNo

Enumeration DateNovember 29, 2010

Last NPPES UpdateJuly 20, 2016

✔ NPI 1497057350 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AM0700X

License✔ Licensed in FL · PA9105593

4850 W OAKLAND PARK BLVD, Lauderdale Lakes, FL 33313

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Other Identifiers 2

Medicaid009196800FL

Medicare PINHO874ZFL

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Johana F Duque Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LAUDERDALE ORTHOPAEDIC SURGEONS LLP

Orthopaedic Surgery

4850 W OAKLAND PARK BLVD, SUITE 136
LAUDERDALE LAKES, FL 33313

Broward County (954) 739-4420

WEST BROWARD CLINICAL LABORATORY, L.L.C.

Clinical Medical Laboratory

4850 W OAKLAND PARK BLVD, SUITE 203
LAUDERDALE LAKES, FL 33313

Broward County (954) 739-3030

MRS. ERENY HANNA P.T.

Physical Therapist

4850 W OAKLAND PARK BLVD, SUITE 201
LAUDERDALE LAKES, FL 33313

Broward County (954) 735-3535

SANDRA ARLENNE LLOSA PERALTA PTA

Physical Therapy Assistant

4850 W OAKLAND PARK BLVD, SUITE 201
LAUDERDALE LAKES, FL 33313

Broward County (954) 735-3535

KATHERINE A BOBOTIS P.A.

Physician Assistant

4850 W OAKLAND PARK BLVD, SUITE 257
LAUDERDALE LAKES, FL 33313

Broward County (615) 778-4066

KEITH J LERNER MD PA

Internal Medicine (Geriatric Medicine)

4850 W OAKLAND PARK BLVD, SUITE 209
LAUDERDALE LAKES, FL 33313

Broward County (954) 484-4440

MRS. NANCY NANETTE TIENHAARA M.S, ATC L, EMT

Specialist

4850 W OAKLAND PARK BLVD
LAUDERDALE LAKES, FL 33313

Broward County (954) 731-7440

JASON MUSSON DPT

Physical Therapist

4850 W OAKLAND PARK BLVD, 201
LAUDERDALE LAKES, FL 33313

Broward County (954) 447-2423

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Johana Duque's NPI number?

The NPI number for Johana Duque is 1497057350. It was assigned to this individual provider in the NPPES registry on November 29, 2010.

Where is Johana Duque located?

Johana Duque practices at 4850 W Oakland Park Blvd 201, Lauderdale Lakes, FL 33313. The listed phone number is (954) 735-3535.

What is Johana Duque's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Johana Duque enrolled in Medicare?

Yes. Johana Duque is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Johana Duque was last updated on July 20, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.