Individual
DR. JOHN A CUNNINGHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
3829 PADDINGTON PL, ST AUGUSTINE, FL 32092-3660
(904) 940-6049
(904) 940-4811
Mailing address
3829 PADDINGTON PL, ST AUGUSTINE, FL 32092-3660
(904) 940-6049
(904) 940-4811
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
PO3192
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
340529000
—
FL
01
—
P00260023
RAILROAD MEDICARE
FL
Enumeration date
05/31/2006
Last updated
08/19/2010
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