Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2086S0122X | Plastic and Reconstructive Surgery | TRN2111 | FL |
NPI | 1215136767 |
---|---|
Provider Name | Alan J Durkin |
First Address | Vero Beach, FL 32963-1400 |
Second Address | Vero Beach, FL 32963-1400 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/07/2007 |
Last Update Date | 02/05/2013 |