# MR. STEPHEN E DUCKER

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1861509176
- **Gender:** Man
- **Credential:** MD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | ME117152 | FL | Yes |
| 367500000X | Certified Registered Nurse Anesthetist | ARNP2679832 | FL | — |

## Other

- **Enumeration date:** 08/23/2006
- **Last updated:** 06/04/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 300373600 | — | FL |
| 01 | — | 430068342 | RR MEDICARE | FL |
| 01 | — | G2134 | BCBS | FL |