Samuel Bundz MD PA

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

ME76884 Issued in FL

Legal business name

SAMUEL BUNDZ MD PA

Practice address

8112 Centralia CT
Suite 101
Leesburg, FL 34788

Phone

(352) 787-9111

Fax

(352) 787-9331

NPI assigned

Jan 16, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Samuel Bundz, MD

Title

President

Phone

(352) 787-9111

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1168905600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1219881600000",
    "number": "1558412486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1250",
            "city": "TAVARES",
            "state": "FL",
            "postal_code": "327781250",
            "telephone_number": "352-787-9111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8112 CENTRALIA CT",
            "address_2": "SUITE 101",
            "city": "LEESBURG",
            "state": "FL",
            "postal_code": "34788",
            "telephone_number": "352-787-9111",
            "fax_number": "352-787-9331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAMUEL BUNDZ MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-16",
        "last_updated": "2008-08-28",
        "status": "A",
        "authorized_official_last_name": "BUNDZ",
        "authorized_official_first_name": "SAMUEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "352-787-9111",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "FL",
            "license": "ME76884",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jared Saint John, APRN
• Carmen Estefania Sainz, DO
• Julia M Salmon, LCSW
• Nickeey Kissian Salmon, M.D.
• Kenneth Appah Sampong, P.A.
• Chukwuemeke Dike Samuel
• Iona Sanchez, PA-C
• Jennifer Sanchez, PHARMD
• Jylaena Sanchez
• Clint James Santiago, CRNA

• Surgery Physician in Leesburg, FL
• Providers in Leesburg, FL by specialty
• Surgery Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.