Individual
JOSE F DURAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BC-HIS
Contact information
Practice address
10986 SW 28TH ST, MIAMI, FL 33165-2308
(305) 551-8641
(305) 551-8641
Mailing address
10986 SW 28TH ST, MIAMI, FL 33165-2308
(305) 551-8641
(305) 551-8641
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
AS707
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
085431000
—
FL
Enumeration date
09/26/2006
Last updated
12/01/2008
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