Healthcare Provider Details

I. General information

NPI: 1669395562
Provider Name (Legal Business Name): DURAN MEDICAL GROUP, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/30/2026
Last Update Date: 08/03/2026
Certification Date: 08/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12105 SW 214TH TER
MIAMI FL
33177-5948
US

IV. Provider business mailing address

12105 SW 214TH TER
MIAMI FL
33177-5948
US

V. Phone/Fax

Practice location:
  • Phone: 786-280-7735
  • Fax:
Mailing address:
  • Phone: 786-280-7735
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP2300X
TaxonomyPrimary Care Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: DARLENE DURAN DIAZ
Title or Position: PRESIDENT
Credential: FNP-C
Phone: 786-280-7735