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Duke G Pao

Radiology

Allopathic & Osteopathic Physicians

3599 University Blvd S, Building 300, Jacksonville, FL 32216-4252

(904) 399-5550

PECOS Enrollment

Based on the most recent information from CMS, provider Duke G Pao does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 4 days ago.

Profile Details

Provider ID
1326069774
Provider Type
Individual
Full Name
Pao, Duke G
Credential
MD

Gender
Male
Sole Proprietor
No
Enumeration Date
7/21/2006
Last Updated
3/17/2010

Contact Information

Practice Location

3599 University Blvd S, Building 300, Jacksonville, FL 32216-4252

(904) 399-5550

(904) 346-4334

Mailing Location

3599 University Blvd S, Building 300, Jacksonville, FL 32216-4252

(904) 399-5550

(904) 346-4334

Provider Taxonomies

Code	Description	License
Code 2085R0202X Primary	Description Radiology Allopathic & Osteopathic Physicians	License ME82560 Florida
Code 2085B0100X	Description Radiology Allopathic & Osteopathic Physicians	License ME82560 Florida
Code 2085N0700X	Description Radiology Allopathic & Osteopathic Physicians	License ME82560 Florida
Code 2085N0904X	Description Radiology Allopathic & Osteopathic Physicians	License ME82560 Florida
Code 2085P0229X	Description Radiology Allopathic & Osteopathic Physicians	License ME82560 Florida
Code 2085R0204X	Description Radiology Allopathic & Osteopathic Physicians	License ME82560 Florida
Code 2085U0001X	Description Radiology Allopathic & Osteopathic Physicians	License ME82560 Florida

Provider Identifiers

ID	Description	Issuer
ID 25018	Description Other	Issuer BCBS Florida
ID 261544400	Description Medicaid	Issuer Unlisted Florida
ID 00908597A	Description Medicaid	Issuer Unlisted Georgia

Duke G Pao

PECOS Enrollment

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