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NPI 1720599459 · Internal Medicine Physician · St Petersburg, FL
Provider details
- NPI number
- 1720599459
- Entity type
- Organization
- Primary specialty
- Internal Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Andy Duclos, Primary Care Provider(954) 560-0767
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Established profile(69/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
11400 4th St N
St Petersburg, FL 33716-2920
Phone: (954) 560-0767
Fax: (954) 560-0767
Street-level locationGet directions
Mailing address
Po Box 21279
St Petersburg, FL 33742-1279
Registry dates
- Enumerated
- 2017-10-20
- Last updated
- 2018-03-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.