Individual
JACQUES DURR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
13330 USF LAUREL DR, TAMPA, FL 33612-6601
(813) 974-2201
Mailing address
PO BOX 917770, ORLANDO, FL 32891-0001
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
ME89228
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
259313100
—
FL
01
—
35715
BLUE CROSS BLUE SHIELD
FL
Enumeration date
08/08/2006
Last updated
04/05/2021
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