Individual
MR. MAURI G LUNDERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1775 LEWIS TURNER BLVD, SUITE 102, FT WALTON BEACH, FL 32547-1221
(850) 864-3232
(850) 864-5220
Mailing address
1775 LEWIS TURNER BLVD, SUITE 102, FT WALTON BEACH, FL 32547-1221
(850) 864-3232
(850) 864-5220
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
ME64728
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
375781100
—
FL
Enumeration date
09/07/2005
Last updated
06/06/2011
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