Individual
DR. JOHN RANDALL LUNDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DNP, APRN
Contact information
Practice address
2001 KINGSLEY AVE, ORANGE PARK, FL 32073-5148
(904) 639-3551
Mailing address
349 FOXRIDGE RD, ORANGE PARK, FL 32065-5737
(904) 298-0715
(904) 298-0715
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
ARNP 9211875
FL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
APRN9211875
FL
Other
Enumeration date
08/12/2005
Last updated
06/30/2025
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