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Individual

JINNY GUNN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
2191 9TH AVE N STE 120, ST PETERSBURG, FL 33713-7147
(727) 826-0795
(727) 258-4863
Mailing address
PO BOX 748817, ATLANTA, GA 30374-8817
(813) 286-0333
(813) 282-1806

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
19742
FL
208600000X
Surgery Physician
Primary
ME125659
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
102186100
FL
Enumeration date
05/06/2014
Last updated
06/21/2023
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