Individual
MS. JORAYN LUNDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
5802 N 30TH ST, TAMPA, FL 33610-1469
(813) 236-5100
(813) 236-5135
Mailing address
PO BOX 917770, ORLANDO, FL 32891-0001
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
ARNP9243951
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004394000
—
FL
01
—
Y09KG
BLUE CROSS BLUE SHIELD
FL
Enumeration date
06/24/2010
Last updated
05/22/2012
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