NPI 1508563149

Mat Dunn

Practitioner Private Vehicle Jacksonville, FL

Practice location

Address: 11702 Wynnfield Lakes Cir, Jacksonville, FL 32246-4228
Phone: (904) 392-4741

Registered specialties

Private Vehicle Primary

Transportation Services Taxonomy 347C00000X

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Registry record

NPI: 1508563149
Entity type: Individual
Sex (as registered): Male
NPI issued: 14 Feb 2023
Record last updated: 14 Feb 2023

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.