Individual
MS. SUSAN MICHELE PUNDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
4880 N. NEWBERRY RD. SUITE 180, BALANCED BODY PILATES, GAINESVILLE, FL 32607
(352) 336-2266
(352) 336-2475
Mailing address
4880 W. NEWBERRY RD. SUITE 180, BALANCED BODY PILATES, GAINESVILLE, FL 32607
(352) 336-2266
(352) 336-2475
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
PT10882
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
Y4760
BLUE CROSS BLUE SHIELD
FL
Enumeration date
04/20/2006
Last updated
10/06/2011
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