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Deactivated NPI 1932593050 Deactivated / Inactive NPI Male Practitioner

William Kundo

Counselor - Professional • Lynn Haven, FL

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, William Kundo has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date March 26, 2015
NPI Deactivation Date January 06, 2020
Total Practice Duration ~5 Years of Practice (2015 – 2020)

Professional Overview & Biography Verified Profile Summary

William Kundo was a registered Counselor - Professional practicing in Lynn Haven, FL. Throughout an active medical career spanning 5 years, William Kundo provided care at the practice location at 817 OHIO AVE until profile deactivation on 2020-01-06.

Practice Location & Contact Primary Location

Practice Address

817 Ohio Ave

Lynn Haven, FL 324442351

Telephone 8504811101
Fax 8504413748
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor - Professional in Lynn Haven, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 16.7 Yrs
Regional Practice Density
2 Specialists

Practicing in Lynn Haven, FL (890 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Counselor - Professional Primary Specialty

NUCC Taxonomy Code: 101YP2500X

State License FL MH5930

Definition to come...

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

4 Associated Practitioners
NPI 1093598773

Family Nurse Practitioner (Certified)

Sheryl Jernigan , ARNP

Nurse Practitioner - Family

NPI 1417454265

Advanced Registered Nurse Practitioner

Stephanie Breland , ARNP

Nurse Practitioner - Family

NPI 1700965571

Advanced Registered Nurse Practitioner

Scott Sullivan , PA

Physician Assistant - Medical

NPI 1750440004

Physician Assistant

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated January 06, 2020

Record deactivated on January 06, 2020

NPI Profile Active March 31, 2015

NPI status registered as active in NPPES database

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Updated Practice Location March 31, 2015

Registered at 817 OHIO AVE, LYNN HAVEN, FL 324442351 (Tel: 8504811101)

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Updated Business Mailing Address March 31, 2015

Registered at 817 OHIO AVENUE, LYNN HAVEN, FL 32444 (Tel: 8504811101)

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Provider Name / Credentials Updated March 31, 2015

Recorded as WILLIAM KUNDO

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Medical Taxonomy / Specialty Registered (Primary Specialty) March 31, 2015

Counselor (License #MH5930 in FL)

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Initial NPI Registration & Enumeration March 26, 2015

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1932593050
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 26, 2015
Last Update: March 31, 2015
Deactivation Date: January 06, 2020

Mailing Address

817 Ohio Avenue

Lynn Haven, FL 32444

Phone: 8504811101

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.