Provider Demographics
NPI:1750400164
Name:DUNCAN, ROBERT E (RPH)
Entity type:Individual
Prefix:MR
First Name:ROBERT
Middle Name:E
Last Name:DUNCAN
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:BOB
Other - Middle Name:
Other - Last Name:DUNCAN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:RPH
Mailing Address - Street 1:1707 DIVOT LN
Mailing Address - Street 2:
Mailing Address - City:SEBRING
Mailing Address - State:FL
Mailing Address - Zip Code:33872-3888
Mailing Address - Country:US
Mailing Address - Phone:863-471-6508
Mailing Address - Fax:863-471-1316
Practice Address - Street 1:6360 US HIGHWAY 27 N
Practice Address - Street 2:
Practice Address - City:SEBRING
Practice Address - State:FL
Practice Address - Zip Code:33870-1225
Practice Address - Country:US
Practice Address - Phone:863-385-5588
Practice Address - Fax:863-385-1378
Is Sole Proprietor?:No
Enumeration Date:2007-03-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS 11026183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist