RENATO M DURHAM MD PA
Emergency Medical Service at Eau Gallie Blvd, Melbourne, FL

License number
Florida ME67647
Category
Osteopathic Medicine
Type
Emergency Medical Services
Owner
Name: RENATO M DURHAM MD
Title: PRESIDENT
Phone: (321) 254-6218
Address
Address
2080 W Eau Gallie Blvd, Melbourne, FL 32935
National Provider ID: 1750692570
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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Renato M Durham MD PA

Melbourne, FL

Status:
Inactive
Industry:
Medical Doctor's Office, Nonclassifiable Establishments
Addresses:
2080 W Eau Gallie Blvd, Melbourne, FL 32935
PO Box 1928, Melbourne, FL 32902

Emergency Medical Service licenses in Florida




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