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NPI Code Detail

MEDICARE: DIANA CAROLINA DURAN

MEDICARE: DIANA CAROLINA DURAN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1183500000XPharmacistPS51049FL

General Provider Information

NPI Number : 1588098750
Entity Type Code : Individual
Provider Name (Legal Business Name) : DIANA CAROLINA DURAN
Provider Business Mailing Address
First Line : 3527 NE 168TH ST
Second Line : APT 206
City : NORTH MIAMI BEACH
State : FL
Zip : 33160-3598
Country : US
Telephone Number : 561-255-0041
Fax Number :
Provider Business Practice Location Address
First Line : 14641 BISCAYNE BLVD
Second Line :
City : NORTH MIAMI
State : FL
Zip : 33181-1211
Country : US
Telephone Number : 305-354-2776
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/23/2013
Last Update Date : 08/23/2013

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Directions to “ DIANA CAROLINA DURAN ” Practice Location

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