JULIAN BUNGUBUNG


Address: 13241 Bartram Park Blvd, Suite 413, Jacksonville, FL 32258-5212
Phone: 9046839000

JULIAN BUNGUBUNG (NPI# 1629453246) 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) 1629453246
Entity Type Individual
Full Name JULIAN BUNGUBUNG
Practice Address 13241 Bartram Park Blvd
Suite 413
Jacksonville
FL 32258-5212
Practice Telephone 9046839000
Practice Fax Number 9044006801
Mailing Telephone 9046839000
Mailing Fax Number 9044006801
Enumeration Date 2015-07-24
Last Update Date 2015-07-24
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363L00000X Nurse Practitioner 9298495 FL Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 13241 BARTRAM PARK BLVD
SUITE 413
City JACKSONVILLE
State FL
Zip Code 32258-5212

Providers in the same location

NPI Name Taxonomy Address Enumeration
1306833587 Mark Andrew Matey Podiatrist 13241 Bartram Park Blvd, Suite 1809, Jacksonville, FL 32258-5227 2005-10-03
1942808977 Etleva Iliazi Nurse Practitioner 13241 Bartram Park Blvd, Jacksonville, FL 32258-5212 2020-10-12
1952830093 Lauren Kessenich Nurse Practitioner 13241 Bartram Park Blvd, Jacksonville, FL 32258-5212 2017-06-11
1497295505 Blayne O Yerby Physician Assistant 13241 Bartram Park Blvd, Suite 209, Jacksonville, FL 32258-5212 2017-03-08
1366981904 Jennifer Mooney Nurse Practitioner 13241 Bartram Park Blvd, Suite 209, Jacksonville, FL 32258-5212 2017-02-15
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1457805756 Pediatric Innovation Center, LLC Pediatrics 13241 Bartram Park Blvd, Suite 209, Jacksonville, FL 32258-5212 2016-08-04
1386097442 Khoi M Le Dentist 13241 Bartram Park Blvd, Ste. 1705, Jacksonville, FL 32258-5212 2016-07-13
1023496189 Railing Chiropractic & Acupuncture Chiropractor 13241 Bartram Park Blvd, 509, Jacksonville, FL 32258-5212 2015-05-09
1699170035 Physicians Group Services Pa Family Medicine 13241 Bartram Park Blvd, Suite 1101, Jacksonville, FL 32258-5212 2014-10-28
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1437794237 Nicoleta Descalzo Behavior Technician 12724 Grand Bay Parkway West, Suite 410, Jacksonville, FL 32258 2019-11-15
1992275572 William Lundgren Nurse Anesthetist, Certified Registered 3625 University Blvd South, Jacksonville, FL 32258 2018-11-27
1104301159 Emergency Physicians Inc Emergency Medicine 14534 Old St Augustine Rd, Suite 3110, Jacksonville, FL 32258 2018-09-26
1679092886 Palm Life Medical Associates Pa Assisted Living Facility 12494 Acosta Oaks Drive, Jacksonville, FL 32258 2017-09-19
1679013932 Optometry Vision Care Pllc Optometrist 14866 Old St. Augustine Rd Unit 110, Jacksonville, FL 32258 2017-03-06
1467991950 North Florida Vision Group Inc Optometrist 14866 Old St. Augustine Rd., Suite 110, Jacksonville, FL 32258 2017-02-16
1124576566 Revolution Chiropractic LLC Chiropractor 14866 Old St Augustine Road, Suite 113, Jacksonville, FL 32258 2016-09-14
1396291936 Robyn Reaves Nurse Practitioner 12361 Richards Glen Ct, Jacksonville, FL 32258 2016-09-01
1326595927 Lauren Cost Chiropractor 14866 Old St. Augustine Road, Suite 113, Jacksonville, FL 32258 2016-09-01
1487991170 Mark Steven Colosimo Pharmacist 13820 Old St Augustine Road, Jacksonville, FL 32258 2013-01-15
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Taxonomy Information

Taxonomy Code 363L00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner

Taxonomy Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1639786338 Bernardo C Lobusta Jr. Nurse Practitioner 13500 Sutton Park Dr S Ste 504, Jacksonville, FL 32224-5290 2020-09-26
1720695513 Kristin Browning Nurse Practitioner 1260 Mcduff Ave S # 4, Jacksonville, FL 32205-8030 2020-09-25
1780295667 Sharnice Letia White Nurse Practitioner 11751 Lake Bend Cir, Jacksonville, FL 32218-9057 2020-08-13
1891305082 Kayla Susan Weller Nurse Practitioner 4361 Gadsden Ct, Jacksonville, FL 32207-6218 2020-08-03
1952925315 Michelle Benefield Nurse Practitioner 605 W Beaver St, Jacksonville, FL 32202-4722 2020-06-02
1831739887 Melanie Bautista Nurse Practitioner 4540 Southside Blvd Ste 401, Jacksonville, FL 32216-5488 2020-01-07
1235776279 Janine Mancusi Nurse Practitioner 417 Brody Cove Trl, Jacksonville, FL 32225-5113 2019-12-10
1114576881 Delesa Gabrielle Bradley Nurse Practitioner 1602 S Jackson St, Jacksonville, TX 75766-3028 2019-09-05
1508411190 Jaclyn Michelle Bowden Nurse Practitioner 6930 Bonneval Rd Ste 2, Jacksonville, FL 32216-6084 2019-08-09
1386297414 Rebecca Newell Nurse Practitioner 3151 Blue Heron Dr N, Jacksonville, FL 32223-2706 2019-07-17
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Competitor

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City JACKSONVILLE
Zip Code 32258

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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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