Lunderman, Mauri G

Lunderman, Mauri G is an individual health care provider with primary practice located at 1775 Lewis Turner Blvd Suite 102, Ft Walton Beach FL 32547-1221. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Lunderman, Mauri G can be contacted via phone (850) 864-3232.

Contact Information

Primary practice address
1775 Lewis Turner Blvd Suite 102 Ft Walton Beach FL 32547-1221
Phone: (850) 864-3232
Fax: (850) 864-5220
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X ME64728 Florida

Profile Details

NPI number 1033103825
LBN Legal business name Lunderman, Mauri G
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 7th, 2005
Last updated Jun 6th, 2011 - about 13 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1033103825 NPPES
Florida MEDICAID 375781100

Popular Providers