Individual
OSVALDO EMMANUEL DURAN MELENDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1600 SW ARCHER RD, GAINESVILLE, FL 32610-1134
(352) 265-5911
(352) 265-5606
Mailing address
PO BOX 100186, GAINESVILLE, FL 32610-0207
(352) 265-5911
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
36428
PR
207P00000X
Emergency Medicine Physician
Primary
ME166747
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
123047600
—
FL
Enumeration date
01/26/2019
Last updated
08/02/2024
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