MR. PAUL JON LASCUNA


Address: 4203 Belfort Rd Ste 108, Jacksonville, FL 32216-1411
Phone: 9044506460

MR. PAUL JON LASCUNA (NPI# 1124396957) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1124396957
Entity Type Individual
Full Name MR. PAUL JON LASCUNA
Credential FNP-BC
Practice Address 4203 Belfort Rd Ste 108
Jacksonville
FL 32216-1411
Mailing Address 4205 Belfort Rd Ste 4015
Jacksonville
FL 32216-3623
Practice Telephone 9044506460
Practice Fax Number 9044506469
Mailing Telephone 9044506017
Mailing Fax Number 9044506041
Enumeration Date 2011-12-07
Last Update Date 2020-11-05
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LF0000X Nurse Practitioner
Specialization: Family
11006780 FL Physician Assistants & Advanced Practice Nursing Providers
N 363LF0000X Nurse Practitioner
Specialization: Family
RN204643 GA Physician Assistants & Advanced Practice Nursing Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
4750 Waters Ave, Ste 202, Savannah, GA 314046278 9123507412 9123507297
2401 Monument Rd, Jacksonville, FL 322252520 6156004057

Office Location

Street Address 4203 BELFORT RD STE 108
City JACKSONVILLE
State FL
Zip Code 32216-1411

Providers in the same location

NPI Name Taxonomy Address Enumeration
1730457565 Tressie Brooks Nurse Practitioner 4203 Belfort Rd Ste 108, Jacksonville, FL 32216-1411 2011-12-07

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NPI Name Taxonomy Address Enumeration
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1790279479 Joseph Richard Kennedy Physician Assistant 6650 Corporate Center Pkwy Apt 1604, Jacksonville, FL 32216 2018-06-18
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Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1881293868 Maria Fe Guboc Rufano-sulit Nurse Practitioner 3682 Summerlin Ln, Jacksonville, FL 32224-1650 2020-10-21
1346849502 Caitlin Flott Nurse Practitioner 14589 Camberwell Ln S, Jacksonville, FL 32258-1708 2020-10-20
1972101137 Amanda Brooke Mills Nurse Practitioner 8459 Oak Crossing Dr W, Jacksonville, FL 32244-6949 2020-10-10
1649877200 Shalom Barile Nurse Practitioner 1377 Ingleside Ave, Jacksonville, FL 32205-7733 2020-10-07
1013524248 Claudia Joseph Nurse Practitioner 3331 Net Ct, Jacksonville, FL 32277-2735 2020-10-01
1063029577 Erica Francisca Andrade Nurse Practitioner 5475 Turkey Creek Rd, Jacksonville, FL 32244-8549 2020-09-29
1568078418 Jennifer Ruth Woodard Nurse Practitioner 29 Trinity Way, Jacksonville, AL 36265-5813 2020-09-16
1013522309 William David Michal Nurse Practitioner 4417 Chippewa Dr, Jacksonville, FL 32210-6006 2020-09-13
1063025906 Fabiola Baptiste Nurse Practitioner 9143 Philips Hwy Ste 110, Jacksonville, FL 32256-1365 2020-08-29
1295348464 Debi Cohen Nurse Practitioner 11266 Cloverhill Ct, Jacksonville, FL 32257-1438 2020-08-27
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Competitor

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City JACKSONVILLE
Zip Code 32216

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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