Individual
DR. RICHARD M BUNT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4031 DIXIE HWY NE, PALM BAY, FL 32905-3682
(321) 622-3222
(321) 622-3203
Mailing address
4031 DIXIE HWY NE, PALM BAY, FL 32905-3682
(321) 622-3222
(321) 622-3203
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
ME046834
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00815746C
—
GA
05
—
278284700
—
FL
Enumeration date
11/27/2006
Last updated
11/10/2015
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