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Contact Information

JOHN D MUNDY, CRNA
4500 SAN PABLO RD S STE 20
JACKSONVILLE, FL32224
 Phone: 909-495-3200
 Fax: 763-450-3986
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nurse Anesthetist, Certified Registered

367500000X 43 Certified Registered Nurse Anesthetist (CRNA)
Indicates primary specialty

NPI Profile & details for JOHN D MUNDY · (Male)

NPI # 1205882214
Status Active
Credentials CRNA (Certified Registered Nurse Anesthetist)
Entity Individual
Enumeration date 05/25/2006
Last updated 01/05/2021 - About 5 years ago
Sole proprietor 1 No
Identifiers
  • FL License # APRN11001687
  • MN License # R146429-2
  • MN Medicaid 367107100
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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