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NPI Code Detail

MEDICARE: DR. DUANE F CUMBERBATCH D.P.M.

MEDICARE: DR. DUANE F CUMBERBATCH D.P.M.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1213E00000XPodiatrist2004021616MO
2213E00000XPodiatrist07001025AIN
3213ES0103XFoot & Ankle Surgery PodiatristPO3354FL

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1P00642732OTHERFLRAILROAD MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1477511350
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. DUANE F CUMBERBATCH D.P.M.
Provider Business Mailing Address
First Line : 8851 BOARDROOM CIR
Second Line :
City : FORT MYERS
State : FL
Zip : 33919-4888
Country : US
Telephone Number : 239-481-7000
Fax Number : 239-481-8150
Provider Business Practice Location Address
First Line : 8851 BOARDROOM CIR
Second Line :
City : FORT MYERS
State : FL
Zip : 33919-4888
Country : US
Telephone Number : 239-481-7000
Fax Number : 239-481-8150
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/02/2006
Last Update Date : 03/13/2017

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