| Dan Eugene Durrieu Pa | |
|
5015 W Waters Ave Suite D Tampa FL 33634-1317 | |
| (813) 882-8181 | |
| (813) 882-3413 |
| Full Name | Dan Eugene Durrieu Pa |
|---|---|
| Speciality | Clinic/Center |
| Location | 5015 W Waters Ave, Tampa, Florida |
| Authorized Official Name and Position | Dan Eugene Durrieu (PRESIDENT) |
| Authorized Official Contact | 8138828181 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dan Eugene Durrieu Pa 5015 W Waters Ave Suite D Tampa FL 33634-1317 Ph: (813) 882-8181 | Dan Eugene Durrieu Pa 5015 W Waters Ave Suite D Tampa FL 33634-1317 Ph: (813) 882-8181 |
| NPI Number | 1306055314 |
|---|---|
| Provider Enumeration Date | 05/22/2007 |
| Last Update Date | 01/27/2012 |
| Medicare PECOS PAC ID | 0143487827 |
|---|---|
| Medicare Enrollment ID | O20120208000355 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306055314 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | CH7730 (Florida) | Primary |
| Provider Name | Dan E Durrieu |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1255347134 PECOS PAC ID: 4688831373 Enrollment ID: I20120208000422 |
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