Secunda, Edward Paul

Secunda, Edward Paul is an individual health care provider with primary practice located at 14011 Beach Blvd Suite 120, Jacksonville Beach FL 32250-2079. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Secunda, Edward Paul can be contacted via phone (904) 223-6400.

Contact Information

Primary practice address
14011 Beach Blvd Suite 120 Jacksonville Beach FL 32250-2079
Phone: (904) 223-6400
Fax: (904) 223-6420
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X OS5915 Florida

Profile Details

NPI number 1053337782
LBN Legal business name Secunda, Edward Paul
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 14th, 2006
Last updated Feb 26th, 2020 - about 5 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 1053337782 NPPES
Florida MEDICAID 374713100
Florida Other 080148956

Popular Providers