Zachary Bunting

Individual provider Active NPI Athletic Trainer · Windermere, FL

NPI 1699249656 · NPPES record last updated Jan 13, 2019

Key facts

NPI
1699249656
Entity type
Individual (NPI type 1)
Primary specialty
Athletic Trainer 2255A2300X
License
4473 (FL)
Practice address
10640 Reams Rd
Windermere, FL 34786-5714
Phone
(954) 868-8419
NPI assigned
Jan 13, 2019
Sex
Male
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
4473FLMDAthletic Trainer

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Athletic Trainer 2255A2300X 4473 FL Yes

Addresses

Primary practice location

10640 Reams Rd
Windermere, FL 34786-5714

Mailing address

10640 Reams Rd
Windermere, FL 34786-5714
Phone (954) 868-8419

Other providers in Windermere, FL

All providers in Windermere, FL · Athletic Trainer in Florida

Sources for this page

Verify at the official NPI Registry.