Durham, John G.

Durham, John G. is an individual health care provider with primary practice located at 499 E Central Parkwy Ste 120, Altamonte Springs FL 32701. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, which is considered as his primary health care specialty. Durham, John G. can be contacted via phone (407) 331-7844.

Contact Information

Primary practice address
499 E Central Parkwy Ste 120 Altamonte Springs FL 32701
Phone: (407) 331-7844
Fax: (407) 478-3595
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X PO 2241 Florida

Profile Details

NPI number 1235103268
LBN Legal business name Durham, John G.
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 15th, 2006
Last updated Sep 4th, 2018 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1235103268 NPPES
Florida MEDICAID 390041000
Florida Other P00112206

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