Bunnell Medical Center Inc
Organization Active NPI Family Medicine Physician · Bunnell, FL
NPI 1720175649 · NPPES record last updated Jun 20, 2008
Key facts
- NPI
- 1720175649
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 4541 (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
- Organization subpart
- No
Authorized official
- Name
- Mrs. Georgia Canakaris
- Title
- Office Administrator
- Phone
- (386) 437-2481
Practitioners 2
-
Yolanda Lucas, M.D.
National Provider Directory
Locations
700 E Moody Blvd
Ste 2
Bunnell, FL 32110
Phone (386) 437-2481
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician |
207Q00000X | 4541 | FL | Yes |
Addresses
Primary practice location
700 E. Moody Blvd
Bunnell, FL 32110
Mailing address
PO Box 727
Bunnell, FL 32110-0727
Phone (386) 437-2481
Other providers in Bunnell, FL
- Kristina H Blanchek
- Andrew Bliss
- Ronda Maria Bostick
- Martha Bradley
- Mary Anna Buckner
- Bunnell Pharmacy Inc
- Carlisi Chiropractic Center Inc.
- Roy Carlisi
- Chance 2 Change
- Alice Chandler
All providers in Bunnell, FL · Family Medicine Physician in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 20, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.