Organization
D. FUNSCH, M.D. MEDICAL CARE, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JD DE LARA (AUTHORIZED OFFICIAL)
(305) 204-1730
Entity
Organization
Contact information
Practice address
7901 4TH ST N, ST PETERSBURG, FL 33702-4305
(305) 204-1730
Mailing address
7901 4TH ST N STE 300, ST PETERSBURG, FL 33702-4399
(305) 204-1730
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
—
—
Other
Enumeration date
07/20/2024
Last updated
03/25/2026
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