Individual
ROBERTO L DURAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
601 UNIVERSITY BLVD STE 205, JUPITER, FL 33458-2788
(561) 624-0702
(561) 624-0773
Mailing address
601 UNIVERSITY BLVD, STE 205, JUPITER, FL 33458-2788
(561) 624-0702
(561) 624-0773
Taxonomy
Speciality
Code
Description
License number
State
208VP0014X
Interventional Pain Medicine Physician
Primary
ME84122
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
06987
BCBS
—
01
—
06987X, 06987W
MEDICARE PTAN
FL
05
—
263443100
—
FL
Enumeration date
06/02/2006
Last updated
01/21/2021
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