Individual
JOANN BASSO CUNDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
270 S MOON AVE, BRANDON, FL 33511-5711
(813) 571-9988
(813) 571-9922
Mailing address
6006 49TH ST N, SUITE 310, ST PETERSBURG, FL 33709-2148
(727) 490-5040
(727) 490-5045
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
ARNP1199012
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000725300
—
FL
01
—
P01293764
RR MEDICARE
FL
Enumeration date
09/25/2005
Last updated
02/16/2015
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