Organization
CARDONA PAIN & ANESTHESIA
Active
Other names
None
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERTO L DURAN M.D. (OWNER)
(561) 624-0702
Entity
Organization
Contact information
Practice address
601 UNIVERSITY BLVD, SUITE 205, JUPITER, FL 33458-2788
(561) 624-0702
(561) 624-0773
Mailing address
1757 SW CABIN PL, PALM CITY, FL 34990-4213
(561) 624-0702
(561) 624-0773
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
ME84122
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11542195
CAQH
FL
01
—
1407053606
ORGANIZATION NPI
FL
01
—
1619915964
NPI PERONAL
FL
01
—
AH762
MEDICARE PTAN
FL
01
—
ME84122
MEDICAL
FL
Enumeration date
06/29/2007
Last updated
06/12/2014
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