Individual
MICHELET LUNDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1018 E SENECA AVE APT A, TAMPA, FL 33612-6071
(813) 735-7596
Mailing address
1018 E SENECA AVE APT A, TAMPA, FL 33612-6071
(813) 735-7596
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
L530540814610
FL
Other
Enumeration date
01/07/2020
Last updated
01/07/2020
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