Prangnuan Durand D.o., P.a. | |
3511 N Andrews Ave Oakland Park FL 33309-5219 | |
(954) 564-7666 | |
Not Available |
Full Name | Prangnuan Durand D.o., P.a. |
---|---|
Speciality | Family Medicine |
Location | 3511 N Andrews Ave, Oakland Park, Florida |
Authorized Official Name and Position | Prangnuan Durand (OWNER) |
Authorized Official Contact | 9545647666 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Prangnuan Durand D.o., P.a. 3511 N Andrews Ave Oakland Park FL 33309-5219 Ph: (954) 564-7600 | Prangnuan Durand D.o., P.a. 3511 N Andrews Ave Oakland Park FL 33309-5219 Ph: (954) 564-7666 |
NPI Number | 1093017808 |
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Provider Enumeration Date | 11/30/2010 |
Last Update Date | 11/30/2010 |
Medicare PECOS PAC ID | 0244429017 |
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Medicare Enrollment ID | O20110110000271 |
Identifier | Type | State | Issuer |
---|---|---|---|
1093017808 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Provider Name | Prangnuan Durand |
---|---|
Provider Type | Practitioner - General Practice |
Provider Identifiers | NPI Number: 1700847928 PECOS PAC ID: 8820287600 Enrollment ID: I20110119001178 |
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