Provider Demographics
NPI:1043258585
Name:DURAN, JOSEPH K (AUD)
Entity Type:Individual
Prefix:DR
First Name:JOSEPH
Middle Name:K
Last Name:DURAN
Suffix:
Gender:M
Credentials:AUD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3431 SW 107TH AVE
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33165-3632
Mailing Address - Country:US
Mailing Address - Phone:305-551-7222
Mailing Address - Fax:305-551-7220
Practice Address - Street 1:3431 SW 107TH AVE
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33165-3632
Practice Address - Country:US
Practice Address - Phone:305-551-7222
Practice Address - Fax:305-551-7220
Is Sole Proprietor?:No
Enumeration Date:2006-06-04
Last Update Date:2011-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAY1145231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL0166952OtherGHI
FL600375300Medicaid
FL0166952OtherGHI
FL600375300Medicaid