Provider Demographics
NPI:1093754335
Name:DURAND, DANTE MARTIN (MD)
Entity Type:Individual
Prefix:DR
First Name:DANTE
Middle Name:MARTIN
Last Name:DURAND
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:DANTE
Other - Middle Name:MARTIN
Other - Last Name:DURAND
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:1695 NW 9TH AVE
Mailing Address - Street 2:SUITE 3308
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33136-1409
Mailing Address - Country:US
Mailing Address - Phone:305-355-9128
Mailing Address - Fax:305-355-9126
Practice Address - Street 1:1695 NW 9TH AVE
Practice Address - Street 2:SUITE 3308
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33136-1409
Practice Address - Country:US
Practice Address - Phone:305-355-9128
Practice Address - Fax:305-355-9126
Is Sole Proprietor?:No
Enumeration Date:2006-06-05
Last Update Date:2014-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARE43672084P0800X
FLME1004162084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
5N357OtherMEDICARE ID
ARB59488Medicare UPIN
I42945Medicare UPIN