Doctor Name: | GUY DURAND |
NPI Number: | 1700023819 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | |
License Number: | ME43763 |
Business Practice Address: | 1670 Nw 93rd Ave Plantation, FL - 333224326 |
Business Phone Number: | 9542366322 |
Business Fax Number: | |
Mailing Address: | Po Box 17926, PLANTATION |
State: | FL |
Postal Code: | 333187926 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 01/12/2009 |
NPI Last Update Date: | 01/12/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | ME43763 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |