MEDICARE: ROBERT E DUNCAN MD

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
1	174400000X	Specialist	ME11442	FL

General Provider Information

NPI Number	:	1538419734
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ROBERT E DUNCAN MD

Provider Business Mailing Address
First Line	:	900 ORIENTAL GARDENS ROAD
Second Line	:
City	:	JACKSONVILLE
State	:	FL
Zip	:	32207
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	900 ORIENTAL GARDENS RD
Second Line	:
City	:	JACKSONVILLE
State	:	FL
Zip	:	32207-4222
Country	:	US
Telephone Number	:	904-399-3000
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/14/2012
Last Update Date	:	09/14/2012

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