JULIAN BUNGUBUNG MARTIN

JACKSONVILLE, FL
NPI1629453246
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: FL  9298495)
Enumeration Date2015-07-24
Last Update Date2020-11-20
Business Address
JULIAN BUNGUBUNG MARTIN
6817 SOUTHPOINT PKWY STE 203
JACKSONVILLE, FL 32216-6286
Phone number: 904-330-1024
Mailing Address
JULIAN BUNGUBUNG MARTIN
6817 SOUTHPOINT PKWY STE 203
JACKSONVILLE, FL 32216-6286
Phone number: 904-330-1024
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