Individual
MR. STEPHEN E DUCKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1150 CIELO CT, NORTH VENICE, FL 34275-2222
(813) 361-6758
Mailing address
1150 CIELO CT, NORTH VENICE, FL 34275-2222
(813) 361-6758
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
ME117152
FL
367500000X
Certified Registered Nurse Anesthetist
ARNP2679832
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300373600
—
FL
01
—
430068342
RR MEDICARE
FL
01
—
G2134
BCBS
FL
Enumeration date
08/23/2006
Last updated
06/04/2020
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