Provider Demographics
NPI:1164253902
Name:DUNCAN HEALTH DIRECT, P.A.
Entity type:Organization
Organization Name:DUNCAN HEALTH DIRECT, P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:CORY
Authorized Official - Middle Name:HARTMAN
Authorized Official - Last Name:DUNCAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:904-540-0490
Mailing Address - Street 1:182 DOCK HOUSE RD
Mailing Address - Street 2:
Mailing Address - City:SAINT JOHNS
Mailing Address - State:FL
Mailing Address - Zip Code:32259-7384
Mailing Address - Country:US
Mailing Address - Phone:904-540-0490
Mailing Address - Fax:904-679-5935
Practice Address - Street 1:182 DOCK HOUSE RD
Practice Address - Street 2:
Practice Address - City:SAINT JOHNS
Practice Address - State:FL
Practice Address - Zip Code:32259-7384
Practice Address - Country:US
Practice Address - Phone:904-540-0490
Practice Address - Fax:904-679-5935
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-08-13
Last Update Date:2024-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty