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

Thomas Mark Lundy, PA

Individual provider Physician Assistant · NPI 1720113533

Thomas Mark Lundy, PA is a Physician Assistant in Jacksonville, Florida. Licensed in Florida. Registered with an NPI since 2007.

Licensed in
FL
In the registry since
2007
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

9090 Regency Square Blvd Credentialing Dept
Jacksonville, FL 32211-8119
Phone: (904) 724-5576
Fax: (904) 724-0721
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA2439 (FL)

Record details

NPI number1720113533
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedFebruary 22, 2007
Last updated in NPPESFebruary 2, 2015
Mailing addressPo Box 40767, Credentialing Department, Jacksonville, FL 32203-0767

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