MEDICARE: DR. E. MICHAEL DUCKWORTH DDS

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	1223G0001X	General Practice Dentistry	DN15551	FL

General Provider Information

NPI Number	:	1710023874
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. E. MICHAEL DUCKWORTH DDS

Provider Business Mailing Address
First Line	:	1506 GLENLAKE CIR
Second Line	:
City	:	NICEVILLE
State	:	FL
Zip	:	32578-3825
Country	:	US
Telephone Number	:	850-897-9600
Fax Number	:

Provider Business Practice Location Address
First Line	:	4566 E HIGHWAY 20 STE 108
Second Line	:
City	:	NICEVILLE
State	:	FL
Zip	:	32578-8839
Country	:	US
Telephone Number	:	850-897-9600
Fax Number	:

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

Provider Enumeration Date	:	01/29/2007
Last Update Date	:	07/08/2007

Similar Medicare Providers

1326040452 — DR. KAREN HENARD CARTER D.C.
Practice Location Address:

4566 E HIGHWAY 20 , STE 205
NICEVILLE, FL
32578-8839

Practice Phone: 850-897-1105
Practice Fax: 850-897-1108

1831165638 — MR. GARY PHILLIP BULLARD PA-C
Practice Location Address:

4566 E HIGHWAY 20 STE 105
NICEVILLE, FL
32578-8839

Practice Phone: 850-279-4543
Practice Fax: 850-279-4827

1790730679 — DR. ANGEL D MORROBEL MD
Practice Location Address:

4566 E HIGHWAY 20 STE 102
NICEVILLE, FL
32578-8839

Practice Phone: 850-279-3247
Practice Fax: 850-279-4615

1962593574 — KENNETH W PONDER MD PA
Practice Location Address:

4566 E HIGHWAY 20 STE 103
NICEVILLE, FL
32578-8839

Practice Phone: 850-897-1223
Practice Fax: 850-897-1237

1225282155 — HENARD FAMILY CHIROPRACTIC, INC.
Practice Location Address:

4566 E HIGHWAY 20 STE 205
NICEVILLE, FL
32578-8839

Practice Phone: 850-897-1105
Practice Fax: 850-897-1108

1184949398 — DR. TONICE KRUEGER LP
Practice Location Address:

4566 E HIGHWAY 20 STE 104
NICEVILLE, FL
32578-8839

Practice Phone: 850-842-2424
Practice Fax:

Directions to “ DR. E. MICHAEL DUCKWORTH DDS” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.