Individual
DR. BILLY LEE DUKE II
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
225 WAYNE AVE, INDIALANTIC, FL 32903-3149
(321) 615-1744
Mailing address
225 WAYNE AVE, INDIALANTIC, FL 32903-3149
(321) 615-1744
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
ME102267
FL
207VM0101X
Maternal & Fetal Medicine Physician
Primary
MD35803
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1051926
CIGNA
TN
05
—
3878282
—
TN
01
—
4071531
BLUE CROSS/BLUE SHIELD
TN
05
—
4071531
—
TN
01
—
5339029
AETNA HMO/PPO
TN
Enumeration date
12/27/2005
Last updated
02/16/2010
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