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Organization

CALEB BUNTING LLC

Active
Other names
Serenoa Vitality and Wellness
Organization subpart
No

Provider details

NPI number
Authorized official
DR. CALEB BUNTING DC (CHIROPRACTOR/OWNER)
(904) 217-6894
Entity
Organization

Contact information

Practice address
2800 N 5TH ST STE 302, ST AUGUSTINE, FL 32084-1837
(904) 217-6894
(904) 788-7481
Mailing address
13 11TH ST, ST AUGUSTINE, FL 32080-3841
(615) 225-7186
(904) 788-7481

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
171100000X
Acupuncturist
261QM1300X
Multi-Specialty Clinic/Center

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1235869520
NPPES
FL
01
1871249649
NPPES
FL
Enumeration date
05/27/2025
Last updated
06/10/2025
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