Individual
DR. MICHAEL S. CUNNINGHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4205 BELFORT RD, SUITE 2069, JACKSONVILLE, FL 32216-1471
(904) 296-0278
Mailing address
4205 BELFORT RD, SUITE 2069, JACKSONVILLE, FL 32216-1471
(904) 296-0278
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
ME0063275
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
255441100
—
FL
Enumeration date
08/25/2005
Last updated
02/19/2014
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