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Individual

JOHN G. DURHAM

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DPM

Contact information

Practice address
499 E CENTRAL PARKWY, STE 120, ALTAMONTE SPRINGS, FL 32701
(407) 331-7844
(407) 478-3595
Mailing address
3165 MCCRORY PL, STE 174, ORLANDO, FL 32803-3727
(407) 423-1234
(407) 517-1040

Taxonomy

Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
PO 2241
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
390041000
FL
01
P00112206
R/R MEDICARE
FL
Enumeration date
02/15/2006
Last updated
09/04/2018
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