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NPI Code Detail

MEDICARE: MR. ROBERT DUFFIELD ARNP

MEDICARE: MR. ROBERT DUFFIELD ARNP
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
1363L00000XNurse PractitionerAPRN9264621FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1720529282
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. ROBERT DUFFIELD ARNP
Provider Business Mailing Address
First Line : 2360 S HIGHWAY 29
Second Line :
City : CANTONMENT
State : FL
Zip : 32533-8508
Country : US
Telephone Number : 850-968-2083
Fax Number :
Provider Business Practice Location Address
First Line : 2360 S HIGHWAY 29
Second Line :
City : CANTONMENT
State : FL
Zip : 32533-8508
Country : US
Telephone Number : 850-968-2083
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/16/2017
Last Update Date : 10/02/2019

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