Provider Demographics
NPI:1003616491
Name:DURANT, TAUIN
Entity type:Individual
Prefix:
First Name:TAUIN
Middle Name:
Last Name:DURANT
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:603 FLOYD ST SE
Mailing Address - Street 2:
Mailing Address - City:PALM BAY
Mailing Address - State:FL
Mailing Address - Zip Code:32909-8630
Mailing Address - Country:US
Mailing Address - Phone:321-591-0621
Mailing Address - Fax:
Practice Address - Street 1:603 FLOYD ST SE
Practice Address - Street 2:
Practice Address - City:PALM BAY
Practice Address - State:FL
Practice Address - Zip Code:32909-8630
Practice Address - Country:US
Practice Address - Phone:321-591-0621
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-03-15
Last Update Date:2025-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services