Individual
JEAN MAURICE DURE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1200 NE 55TH BLVD, GAINESVILLE, FL 32641-2783
(904) 964-7732
(904) 964-3829
Mailing address
9816 SW 150TH RUN, LAKE BUTLER, FL 32054-7120
(904) 964-3829
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
16163
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009635300
—
FL
05
—
039796800
—
PR
Enumeration date
08/08/2007
Last updated
12/16/2024
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