Individual
DR. EDWARD PAUL SECUNDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
14011 BEACH BLVD, SUITE 120, JACKSONVILLE BEACH, FL 32250-2079
(904) 223-6400
(904) 223-6420
Mailing address
7855 ARGYLE FOREST BLVD., STE. 101, JACKSONVILLE, FL 32244-5597
(904) 282-6331
(904) 282-4117
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
OS5915
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
080148956
MEDICARE RAILROAD
FL
05
—
374713100
—
FL
Enumeration date
07/14/2006
Last updated
02/26/2020
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