Active NPI
Prangnuan Durand D.O., P.a.
- Family Medicine Physician
- Oakland Park, FL
National Provider Identifier
1093017808
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- PRANGNUAN DURAND D.O., P.A.
- Practice address
- 3511 N Andrews Ave
Oakland Park, FL 33309-5219 - Phone
- (954) 564-7666
- NPI assigned
- Nov 30, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Prangnuan Durand, D.O.
- Title
- Owner
- Phone
- (954) 564-7666
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary |
Addresses
Primary practice location
3511 N Andrews Ave
Oakland Park, FL 33309-5219
Mailing address
3511 N Andrews Ave
Oakland Park, FL 33309-5219
Phone (954) 564-7600
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20110110000271 | FL | Part B Supplier - Clinic/Group Practice | 0244429017 |
Receives reassigned benefits from 1 practitioner Practice locations: Oakland Park, FL |
National Provider Directory
National Provider DirectoryLocations
3511 N Andrews Ave
Oakland Park, FL 33309
Phone (954) 564-7666
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1291075200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1291075200000",
"number": "1093017808",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3511 N ANDREWS AVE",
"city": "OAKLAND PARK",
"state": "FL",
"postal_code": "333095219",
"telephone_number": "954-564-7600"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3511 N ANDREWS AVE",
"city": "OAKLAND PARK",
"state": "FL",
"postal_code": "333095219",
"telephone_number": "954-564-7666"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PRANGNUAN DURAND D.O., P.A.",
"organizational_subpart": "NO",
"enumeration_date": "2010-11-30",
"last_updated": "2010-11-30",
"status": "A",
"authorized_official_last_name": "DURAND",
"authorized_official_first_name": "PRANGNUAN",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "954-564-7666",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.O."
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Oakland Park, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.