Individual
JULIAN BUNGUBUNG MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
6817 SOUTHPOINT PKWY STE 203, JACKSONVILLE, FL 32216-6286
(904) 330-1024
(904) 330-1027
Mailing address
6817 SOUTHPOINT PKWY STE 203, JACKSONVILLE, FL 32216-6286
(904) 330-1024
(904) 330-1027
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
9298495
FL
Other
Enumeration date
07/24/2015
Last updated
11/20/2020
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