Edward Paul Secunda D.O.

NPI 1053337782 - Family Medicine - 207Q00000X

NPI Details
NPI 1053337782
Gender Male
Enumeration Date 07/14/2006
Last Updated 08/18/2015
Entity Type Individual
Active Over 11 years ago
Practice Location
14011 BEACH BLVD
SUITE 120
JACKSONVILLE BEACH FL, 32250-2079, US
Phone (904) 223-6400
Fax (904) 223-6420
Business Location
PO BOX 850001
ORLANDO FL, 32885-0192, US
Phone (904) 282-6331
Fax (904) 282-4117
Toxanomy
Taxonomy Code 207Q00000X
License State Florida
License Number OS5915
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According to our database, Dr. Edward Paul Secunda D.O. NPI is 1053337782, taxonomy code is 207Q00000X and license number is OS5915, license state is located at Florida. Edward Paul Secunda D.O. physically located at 14011 Beach Blvd, Jacksonville Beach FL, 32250-2079. NPI Number Edward Paul Secunda D.O. has the Individual type.

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1053337782 NPI number is provided on an as is basis without warranty of any kind. 1053337782 is maintained by the National Plan & Provider Enumeration System. The contents of Edward Paul Secunda D.O. are for informational purposes only.