Provider Demographics
NPI:1306173588
Name:DUNCAN, AARON R M (DC, LMT)
Entity type:Individual
Prefix:DR
First Name:AARON
Middle Name:R M
Last Name:DUNCAN
Suffix:
Gender:M
Credentials:DC, LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3493 WINCHESTER DR
Mailing Address - Street 2:
Mailing Address - City:PORT ORANGE
Mailing Address - State:FL
Mailing Address - Zip Code:32129-3144
Mailing Address - Country:US
Mailing Address - Phone:321-695-3953
Mailing Address - Fax:
Practice Address - Street 1:3493 WINCHESTER DR
Practice Address - Street 2:
Practice Address - City:PORT ORANGE
Practice Address - State:FL
Practice Address - Zip Code:32129-3144
Practice Address - Country:US
Practice Address - Phone:321-695-3953
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-11-10
Last Update Date:2009-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMA 28316225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist