Bunnell Medical Center Inc

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

4541 Issued in FL

Legal business name

BUNNELL MEDICAL CENTER INC

Practice address

700 E. Moody Blvd
Bunnell, FL 32110

Phone

(386) 437-2481

Fax

(386) 437-2404

NPI assigned

Oct 10, 2006

Last updated

Jun 20, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Georgia Canakaris

Title

Office Administrator

Phone

(386) 437-2481

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Yolanda Lucas, M.D.

  • Specialist
  • Palm Coast, FL
  • NPI 1588851786
  NPD (past)
• John G. Symeonides, MD

  • Family Medicine Physician
  • Palm Coast, FL
  • NPI 1063600310
  NPD (past)

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

{
    "created_epoch": "1160438400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213920000000",
    "number": "1720175649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 727",
            "city": "BUNNELL",
            "state": "FL",
            "postal_code": "321100727",
            "telephone_number": "386-437-2481",
            "fax_number": "386-437-2024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 E. MOODY BLVD",
            "city": "BUNNELL",
            "state": "FL",
            "postal_code": "32110",
            "telephone_number": "386-437-2481",
            "fax_number": "386-437-2404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BUNNELL MEDICAL CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-10",
        "last_updated": "2008-06-20",
        "status": "A",
        "authorized_official_last_name": "CANAKARIS",
        "authorized_official_first_name": "GEORGIA",
        "authorized_official_title_or_position": "OFFICE ADMINISTRATOR",
        "authorized_official_telephone_number": "386-437-2481",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "4541",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristina H Blanchek, MDIV
• Andrew Bliss
• Ronda Maria Bostick, LMHC
• Martha Bradley, LMHC
• Mary Anna Buckner, RBT-18-73005
• Bunnell Pharmacy Inc
• Carlisi Chiropractic Center Inc.
• Roy Carlisi, D.C.
• Chance 2 Change (Break The Cycle)
• Alice Chandler, CCC-SLP

• Family Medicine Physician in Bunnell, FL
• Providers in Bunnell, FL by specialty
• Family Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 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.