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MARCIA FUNDERBURK M.D. NPI 1003875345

Classification
Family Medicine
Type
License No.
ME51523
License State
FL
Certified
Location

Additional Identifiers

Medical School
UNIVERSITY OF IOWA, RJ & L CARVER COLLEGE OF MEDICINE
Graduation Year
1981
Identifier
Type
State
Identifier: D84931
Type: MEDICARE UPIN (02)
State: FL
Identifier: 07072Z
Type: MEDICARE PIN (08)
State: FL
Identifier: 80070854
Type: MEDICARE PIN (08)
State: FL

Hospital & Clinics

Business Name
Company Size
Revenue
Business Address
1255 LILA ST, JACKSONVILLE, FL, 322083550
Business Phone
904-244-5802
Mailing Address
PO BOX 44008, JACKSONVILLE, FL, 322314008
Mailing Phone
904-244-3660
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