NPI 1003875345

Marcia Wayne Funderburk, MD

Practitioner Family Medicine Physician Jacksonville, FL

Practice location

Address: 1255 Lila St Ufjp Lem Turner Family Practice Center, Jacksonville, FL 32208-3550
Phone: (904) 244-5802
Fax: (904) 244-5791
Mailing address: PO Box 44008 Ufjp Provider Enrollment, Jacksonville, FL 32231-4008

Registered specialties

Family Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207Q00000X Licence ME51523 (FL)

Other Family Medicine providers in Florida →

Registry record

NPI: 1003875345
Entity type: Individual
Sex (as registered): Female
NPI issued: 23 Mar 2006
Record last updated: 2 Dec 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.