Michael V Durante Dc Pa | |
1235 W Dixie Ave, Leesburg, FL 34748-6315 | |
(352) 787-2785 | |
(352) 787-4484 |
Full Name | Michael V Durante Dc Pa |
---|---|
Type | Facility |
Speciality | Chiropractor |
Location | 1235 W Dixie Ave, Leesburg, Florida |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1649248048 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | CH0004908 (Florida) | Primary |
Provider Name | Michael V. Durante |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1821067968 PECOS PAC ID: 5799815874 Enrollment ID: I20100723000864 |
Mailing Address | Practice Location Address |
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Michael V Durante Dc Pa 1235 W Dixie Ave, Leesburg, FL 34748-6315 Ph: (352) 787-2785 | Michael V Durante Dc Pa 1235 W Dixie Ave, Leesburg, FL 34748-6315 Ph: (352) 787-2785 |
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