Healthcare Provider Details

I. General information

NPI: 1215136767
Provider Name (Legal Business Name): ALAN J DURKIN M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/15/2007
Last Update Date: 02/18/2025
Certification Date: 02/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5070 HIGHWAY A1A SUITE A
VERO BEACH FL
32963-1400
US

IV. Provider business mailing address

5070 HIGHWAY A1A SUITE A
VERO BEACH FL
32963-1400
US

V. Phone/Fax

Practice location:
  • Phone: 772-234-3700
  • Fax: 772-234-3770
Mailing address:
  • Phone: 772-234-3700
  • Fax: 772-234-3770

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2086S0122X
TaxonomyPlastic and Reconstructive Surgery Physician
License NumberTRN2111
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: