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Organization
CE BUNNELL & ASSOCIATES PLLC
Active
Organization
CE BUNNELL & ASSOCIATES PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLES E. BUNNELL M.D. (PRESIDENT)
(386) 851-5000
Entity
Organization
Contact information
Practice address
1055 SAXON BLVD, DEPT. OF PATHOLOGY, ORANGE CITY, FL 32763-8468
(386) 851-5000
(386) 917-5159
Mailing address
PO BOX 144333, ORLANDO, FL 32814-4333
(407) 422-9831
(407) 648-2065
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
—
NULL
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
—
—
Other
Enumeration date
11/19/2005
Last updated
08/10/2007
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