Individual
CORY C DUFFEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
8791 CONFERENCE DR, FORT MYERS, FL 33919-5822
(239) 938-3500
(239) 938-3555
Mailing address
8791 CONFERENCE DR, FORT MYERS, FL 33919-5822
(239) 938-3500
(239) 938-3555
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
1338
WI
2085R0202X
Diagnostic Radiology Physician
Primary
ME 106216
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002436400
—
FL
01
—
148Z2
BCBS FL
FL
01
—
P00899482
RR MEDICARE
FL
Enumeration date
05/12/2006
Last updated
04/09/2014
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