Healthcare Provider Details

I. General information

NPI: 1356270045
Provider Name (Legal Business Name): JOSEPH ANTHONY DURANTE
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/18/2026
Last Update Date: 05/18/2026
Certification Date: 05/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8095 N UNIVERSITY DR
PARKLAND FL
33067-2602
US

IV. Provider business mailing address

9826 NW 28TH PL
CORAL SPRINGS FL
33065-1407
US

V. Phone/Fax

Practice location:
  • Phone: 954-575-8230
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License NumberPSI45930
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: