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Individual

DANIEL MICHAEL DURANTE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
OD,PA

Contact information

Practice address
3468NWFEDERAL HWY, JENSEN BEACH, FL 34957-4440
(772) 692-3348
Mailing address
3468 NW FEDERAL HWY, JENSEN BEACH, FL 34957-4440
(772) 692-2020

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPC001529
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1164638078
OPTICAL DISPENSARY NPI#
FL
01
1407881337
DOCTORS NPI # FOR MEDICAL BILLING
FL
05
620289600
FL
Enumeration date
07/11/2006
Last updated
07/12/2017
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