Cundy, Joann Basso

Cundy, Joann Basso is an individual health care provider with primary practice located at 270 S Moon Ave , Brandon FL 33511-5711. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Cundy, Joann Basso can be contacted via phone (813) 571-9988.

Contact Information

Primary practice address
270 S Moon Ave Brandon FL 33511-5711
Phone: (813) 571-9988
Fax: (813) 571-9922
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X ARNP1199012 Florida

Profile Details

NPI number 1417943424
LBN Legal business name Cundy, Joann Basso
Credentials ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 25th, 2005
Last updated Feb 16th, 2015 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1417943424 NPPES
Florida Other P01293764 RR MEDICARE
Florida MEDICAID 000725300 RR MEDICARE

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