Mauri G Lunderman, M.D., P.A.

LBN: Mauri G Lunderman, M.D., P.A.
Mauri G Lunderman, M.D., P.A. is an health care organization with primary practice located at 1775 Lewis Turner Blvd Suite 102, Fort Walton Beach FL 32547-1221. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as the primary health care specialty. Mauri G Lunderman, M.D., P.A. can be contacted via phone (850) 864-3232, or through Lunderman, Mauri Glenn via phone (850) 864-3232.

Contact Information

Primary practice address
1775 Lewis Turner Blvd Suite 102 Fort Walton Beach FL 32547-1221
Phone: (850) 864-3232
Fax: (850) 864-5220
Website:
Map and Directions
Authorized official contact:
Name: Lunderman, Mauri Glenn Doctor of Medicine (MD)
Phone: (850) 864-3232

Health care specialties

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

Profile Details

NPI number 1902839798
LBN Legal business name Mauri G Lunderman, M.D., P.A.
DBA Doing business as
Authorized official Lunderman, Mauri Glenn Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 8th, 2006
Last updated Feb 3rd, 2010 - about 14 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1902839798 NPPES
Florida MEDICAID 375781100

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