Healthcare Provider Details

I. General information

NPI: 1013741263
Provider Name (Legal Business Name): FELICIA DURAN DDS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/29/2024
Last Update Date: 08/29/2024
Certification Date: 08/29/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10454 W ATLANTIC BLVD
CORAL SPRINGS FL
33071-5605
US

IV. Provider business mailing address

10454 W ATLANTIC BLVD
CORAL SPRINGS FL
33071-5605
US

V. Phone/Fax

Practice location:
  • Phone: 954-575-3433
  • Fax: 954-575-1313
Mailing address:
  • Phone: 954-575-3433
  • Fax: 954-575-1313

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1223X0400X
TaxonomyOrthodontics and Dentofacial Orthopedics Dentistry
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number
License Number State

VIII. Authorized Official

Name: FELICIA DURAN
Title or Position: GENERAL DENTIST
Credential: DDS
Phone: 954-575-3433