Duffek, Cory C
Duffek, Cory C is an individual health care provider with primary practice located at 8791 Conference Dr , Fort Myers FL 33919-5822. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Duffek, Cory C can be contacted via phone (239) 938-3500.Contact Information
Primary practice address
8791 Conference Dr
Fort Myers FL 33919-5822
Phone: (239) 938-3500
Fax: (239) 938-3555
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | 1338 | Wisconsin |
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | ME 106216 | Florida |
Profile Details
| NPI number | 1356391908 |
|---|---|
| LBN Legal business name | Duffek, Cory C |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 12th, 2006 |
| Last updated | Apr 9th, 2014 - about 10 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1356391908 | NPPES |
| Florida | Other | 148Z2 | BCBS FL |
| Florida | MEDICAID | 002436400 | BCBS FL |
| Florida | Other | P00899482 | BCBS FL |
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