Samuel Bundz MD PA
Surgery in Leesburg, FL. Organization (NPI-2).
NPI number1558412486
StatusActive
Last updated in NPPESAug 28, 2008
Details
- NPI
- 1558412486
- Entity type
- Organization (NPI-2)
- Legal business name
- Samuel Bundz MD PA
- Organization subpart
- No
- Enumeration date
- Jan 16, 2007
- Last updated
- Aug 28, 2008
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208600000X | Surgery | ME76884 | FL | Yes |
Practice location
8112 Centralia CtSuite 101
Leesburg, FL 34788
Phone 352-787-9111 · Fax 352-787-9331
Mailing address
Po Box 1250Tavares, FL 32778-1250
Phone 352-787-9111
Authorized official
Samuel Bundz
President
3527879111
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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