Individual
SUNDAY U ERO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
14534 OLD SAINT AUGUSTINE RD STE 3210, JACKSONVILLE, FL 32258-2645
(904) 880-1260
(904) 880-1210
Mailing address
1325 SAN MARCO BLVD STE 200, JACKSONVILLE, FL 32207-8566
(904) 346-3465
(904) 388-9644
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
ME75072
FL
207XS0117X
Orthopaedic Surgery of the Spine Physician
Primary
ME75072
FL
207XX0801X
Orthopaedic Trauma Physician
ME75072
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
378517300
—
FL
Enumeration date
06/09/2005
Last updated
11/16/2020
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