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

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
Show map & directions

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

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