Provider Demographics
NPI:1033189014
Name:ACUNA, JOANN G (MD)
Entity Type:Individual
Prefix:DR
First Name:JOANN
Middle Name:G
Last Name:ACUNA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:836 PRUDENTIAL DRIVE, SUITE 1800
Mailing Address - Street 2:
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32207
Mailing Address - Country:US
Mailing Address - Phone:904-398-7684
Mailing Address - Fax:904-398-4998
Practice Address - Street 1:836 PRUDENTIAL DR STE 1800
Practice Address - Street 2:
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32207-8345
Practice Address - Country:US
Practice Address - Phone:904-398-7684
Practice Address - Fax:904-398-4998
Is Sole Proprietor?:No
Enumeration Date:2006-01-24
Last Update Date:2012-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMD93989207VM0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VM0101XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyMaternal & Fetal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA101320894Medicaid
PA101320894Medicaid
PAMD423611Medicare ID - Type Unspecified