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1003875345
MARCIA WAYNE FUNDERBURK
JACKSONVILLE, FL
NPI
1003875345
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: FL ME51523)
Enumeration Date
2006-03-23
Last Update Date
2007-12-02
Business Address
Dr. MARCIA WAYNE FUNDERBURK M.D.
1255 LILA ST UFJP LEM TURNER FAMILY PRACTICE CENTER
JACKSONVILLE, FL 32208-3550
Phone number: 904-244-5802
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Mailing Address
Dr. MARCIA WAYNE FUNDERBURK M.D.
PO BOX 44008 UFJP PROVIDER ENROLLMENT
JACKSONVILLE, FL 32231-4008
Phone number: 904-244-3660
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