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1720113533
THOMAS MARK LUNDY
JACKSONVILLE, FL
NPI
1720113533
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: FL PA2439)
Enumeration Date
2007-02-22
Last Update Date
2015-02-02
Business Address
-- THOMAS MARK LUNDY PA
9090 REGENCY SQUARE BLVD CREDENTIALING DEPARTMENT
JACKSONVILLE, FL 32211-8119
Phone number: 904-724-5576
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Mailing Address
-- THOMAS MARK LUNDY PA
PO BOX 40767 CREDENTIALING DEPARTMENT
JACKSONVILLE, FL 32203-0767
Phone number: 904-376-3707
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