MEDICARE: EVELYN DURON ARNP

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
1	363LP2300X	Primary Care Nurse Practitioner	APRN11003820	FL

General Provider Information

NPI Number	:	1811531882
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	EVELYN DURON ARNP

Provider Business Mailing Address
First Line	:	10658 BANNAN ST
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32832-4906
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	12139 S APOPKA VINELAND RD
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32836-6802
Country	:	US
Telephone Number	:	407-535-1313
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/03/2019
Last Update Date	:	11/03/2019

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