Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Julian Bungubung Martin

Individual provider Nurse Practitioner · NPI 1629453246

Julian Bungubung Martin is a Nurse Practitioner in Jacksonville, Florida. Qualified in 2014, 12 years ago. Practices with Cardiac Vision LLC, a 68-clinician group and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
12
Licensed in
FL
In the registry since
2015
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Practice location Address checks out

6817 Southpoint Pkwy Ste 203
Jacksonville, FL 32216-6286
Phone: (904) 330-1024
Fax: (904) 330-1027
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 9298495 (FL)

Record details

NPI number1629453246
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJuly 24, 2015
Last updated in NPPESNovember 20, 2020
Certification dateNovember 20, 2020

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Cardiac Vision Llc — 68 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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