Doctor Name: | NELSON HERNANDO DURAN |
NPI Number: | 1588092571 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PA |
License Number: | PA 9107523 |
Business Practice Address: | 12271 Us Highway 301 N Parrish, FL - 342198410 |
Business Phone Number: | 9417764000 |
Business Fax Number: | 9417764013 |
Mailing Address: | Po Box 997, PALMETTO |
State: | FL |
Postal Code: | 342200997 |
Phone Number: | 9417764000 |
Fax Number: | 9417764013 |
NPI Enumeration Date: | 10/29/2013 |
NPI Last Update Date: | 09/23/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363AM0700X |
License Number: | PA 9107523 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Physician Assistant |
Taxonomy Specialization: | Medical |
Taxonomy Definition: |