State Of Florida Department Of Health

Specialty details in registry · Bunnell, FL

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At a glance

301 S Lemon St, Bunnell, FL 32110-6212

NPPES record updated Aug 22, 2020. Public records can lag behind changes at a practice.

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Insurance participation and appointment availability are not established by these public records.

Practice location

301 S Lemon St
Bunnell, FL 32110-6212
Professional details: NPI, taxonomy & registry record
NPI1790851608
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Registry details

Primary taxonomy
Specialty details in registry
Taxonomy code
251K00000X
Enumeration date
Nov 24, 2006
Record updated
Aug 22, 2020
More registry details
Provider type
Organization · Type 2
Other reported name
<UNAVAIL>

Reported taxonomies and licenses

Specialty details in registry

251K00000X · Primary

License numbers and credentials are reported to NPPES; HCPList does not independently verify them.

Practice location

301 S Lemon St
Bunnell, FL 32110-6212
Phone
(386) 437-7350
Fax
(386) 437-7353
Mailing address
PO BOX 847
301 S LEMON STREET
BUNNELL, FL 321100847
Source: NPPES Source through Oct 18, 2026An NPI does not verify licensure or credentials.

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