Individual
JESSICA A KUNI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
730 MALABAR RD, MALABAR, FL 32950-3140
(321) 434-1401
Mailing address
3300 S FISKE BLVD, ROCKLEDGE, FL 32955-4306
(321) 434-1401
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
363AS0400X
Surgical Physician Assistant
Primary
PA9119383
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
124633100
—
FL
01
—
T0828
MEDICARE HFMG
FL
Enumeration date
08/27/2024
Last updated
05/11/2026
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