Bunnell Medical Center INC
Family Medicine in Bunnell, FL. Organization (NPI-2).
NPI number1720175649
StatusActive
Last updated in NPPESJun 20, 2008
Details
- NPI
- 1720175649
- Entity type
- Organization (NPI-2)
- Legal business name
- Bunnell Medical Center INC
- Organization subpart
- No
- Enumeration date
- Oct 10, 2006
- Last updated
- Jun 20, 2008
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | 4541 | FL | Yes |
Practice location
700 E. Moody BlvdBunnell, FL 32110
Phone 386-437-2481 · Fax 386-437-2404
Mailing address
Po Box 727Bunnell, FL 32110-0727
Phone 386-437-2481 · Fax 386-437-2024
Authorized official
Georgia Canakaris
Office Administrator
3864372481
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