Individual
COLT ROLAND DUNTEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
200 SE HOSPITAL AVE, STUART, FL 34994-2346
(772) 223-5618
(772) 288-5834
Mailing address
PO BOX 417, STUART, FL 34995-0417
(772) 223-2832
(772) 223-5646
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
ME123078
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
015187200
—
FL
01
—
150YR
FLORIDA BLUE
FL
Enumeration date
05/23/2012
Last updated
08/04/2015
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