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Organization

DANIEL M. DURANTE, ODPA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. DANIEL MICHAEL DURANTE OD (PRESIDENT)
(772) 692-2020
Entity
Organization

Contact information

Practice address
3468 NW FEDERAL HWY, JENSEN BEACH, FL 34957-4440
(772) 692-2020
(772) 692-2844
Mailing address
3468 NW FEDERAL HWY, JENSEN BEACH, FL 34957-4440
(772) 692-2020
(772) 692-2844

Taxonomy

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

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1164638140
FL
01
1407881337
NPI 1
Enumeration date
07/14/2014
Last updated
07/14/2014
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