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RENATO M DURHAM MD PA
NPI 1750692570
Emergency Medicine - Emergency Medical Services in Melbourne, FL

Active since June 25, 2010
2080 W EAU GALLIE BLVD, MELBOURNE, FL 32935(321) 254-6218(321) 254-6230 Get Directions Write a Review

NPPES record last updated: June 25, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Renato M Durham Md Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

RENATO M DURHAM MD PA (NPI 1750692570) is a healthcare organization registered as an emergency medical services in Melbourne, Florida and active in the NPI registry since June 2010. The organization lists Renato M Durham, President, as its authorized official.

NPPES Registry Identity

NPI1750692570
Entity TypeOrganization
Primary Taxonomy207PE0004X
Legal Business NameRENATO M DURHAM MD PA
Location Address2080 W EAU GALLIE BLVDMelbourne, FL 32935-3185
Mailing Address2080 W Eau Gallie BlvdMelbourne, FL 32935-3185 · (321) 254-6218 · Fax (321) 254-6230
Phone(321) 254-6218
Fax(321) 254-6230
Organization SubpartNo
Authorized OfficialRenato M DurhamPresident · (321) 254-6218
Enumeration DateJune 25, 2010
✔ NPI 1750692570 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency Medicine · Emergency Medical ServicesAllopathic & Osteopathic Physicians
Taxonomy Code207PE0004X
License✔ Licensed in FL · ME67647
Definition
An emergency medicine physician who specializes in non-hospital based emergency medical services (e.g., disaster site, accident scene, transport vehicle, etc.) to provide pre-hospital assessment, treatment, and transport patients.
2080 W EAU GALLIE BLVD, Melbourne, FL 32935
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Other Identifiers 1

Medicaid758961100FL

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

VINAY K MEHINDRU M.D.
Emergency Medicine
2080 W EAU GALLIE BLVD, SUITE A
MELBOURNE, FL 32935
Brevard County (321) 254-6218
JAYME M PETERSON PAC
Physician Assistant
2080 W EAU GALLIE BLVD, SUITE A
MELBOURNE, FL 32935
Brevard County (321) 254-6218
NICOLE F TAFT PA-C
Physician Assistant
2080 W EAU GALLIE BLVD
MELBOURNE, FL 32935
Brevard County (321) 254-6218
BREVARD EMERGENCY SERVICES
Internal Medicine
2080 W EAU GALLIE BLVD, SUITE A
MELBOURNE, FL 32935
Brevard County (321) 254-6218
PEGGY FREDERIQUE-BELL PAC
Physician Assistant
2080 W EAU GALLIE BLVD, SUITE A
MELBOURNE, FL 32935
Brevard County (321) 254-6218
CARISSA MARIE HARDIN OTR/L
Occupational Therapist
2080 W EAU GALLIE BLVD
MELBOURNE, FL 32935
Brevard County (407) 694-3603
SPACE COAST HEALTH CARE SERVICES
Internal Medicine
2080 W EAU GALLIE BLVD, SUITE A
MELBOURNE, FL 32935
Brevard County (321) 254-6218
ATLANTIC MEDICAL ASSOCIATES LLC
Internal Medicine
2080 W EAU GALLIE BLVD, SUITE A
MELBOURNE, FL 32935
Brevard County (321) 254-6218

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Renato M Durham MD PA's NPI number?

The NPI number for Renato M Durham MD PA is 1750692570. It was assigned to this organization in the NPPES registry on June 25, 2010.

Where is Renato M Durham MD PA located?

Renato M Durham MD PA is located at 2080 W Eau Gallie Blvd, Melbourne, FL 32935. The listed phone number is (321) 254-6218.

What is Renato M Durham MD PA's specialty?

The primary specialty registered for this NPI is Emergency Medicine, specializing in Emergency Medical Services, with taxonomy code 207PE0004X.

When was this NPI record last updated?

The NPPES record for Renato M Durham MD PA was last updated on June 25, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.