Provider Demographics
NPI:1780142935
Name:DURAN AND FAMILY EXCELLENCE OF HEALTH SERVICES LLC
Entity type:Organization
Organization Name:DURAN AND FAMILY EXCELLENCE OF HEALTH SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MGR
Authorized Official - Prefix:DR
Authorized Official - First Name:MANUEL
Authorized Official - Middle Name:
Authorized Official - Last Name:DURAN BORRAS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:561-502-5136
Mailing Address - Street 1:8551 MIRALAGO WAY
Mailing Address - Street 2:
Mailing Address - City:PARKLAND
Mailing Address - State:FL
Mailing Address - Zip Code:33076-4585
Mailing Address - Country:US
Mailing Address - Phone:561-502-5136
Mailing Address - Fax:
Practice Address - Street 1:8551 MIRALAGO WAY
Practice Address - Street 2:
Practice Address - City:PARKLAND
Practice Address - State:FL
Practice Address - Zip Code:33076-4585
Practice Address - Country:US
Practice Address - Phone:561-502-5136
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-03-06
Last Update Date:2019-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLME126726OtherME LICENSE