Individual
RENE E KUNHARDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2035 LITTLE RD, TRINITY, FL 34655-4421
(727) 842-9486
(727) 849-2623
Mailing address
2035 LITTLE RD, TRINITY, FL 34655-4421
(727) 842-9486
(727) 849-2623
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
ME79231
FL
207RI0011X
Interventional Cardiology Physician
ME79231
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2323689
AETNA
—
01
—
2500783
UNITED HEALTH CARE
—
05
—
258746700
—
FL
01
—
270610
AVMED
—
01
—
27664
BLUE CROSS BLUE SHIELD
—
01
—
6506906001
CIGNA
—
Enumeration date
10/07/2005
Last updated
03/17/2018
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