Individual provider · Type 1 NPI

Thomas Mark Lundy, PA

Physician Assistant · Jacksonville, FL

NPI number 1720113533 Active

Practice location

9090 Regency Square Blvd, Credentialing Department
Jacksonville, FL 32211-8119

Fax (904) 724-0721

Mailing address

PO Box 40767, Credentialing Department
Jacksonville, FL 32203-0767

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000XPA2439 (FL)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1720113533

Thomas Mark Lundy, PA's National Provider Identifier is 1720113533, issued on Feb 22, 2007. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Jacksonville, FL. The record was last updated on Feb 2, 2015.