Individual
ENRIQUE OCTAVIO BUJANDA-MORUN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1920 DON WICKHAM DR STE 115, CLERMONT, FL 34711-1977
(352) 323-9530
(321) 842-8290
Mailing address
1920 DON WICKHAM DR STE 115, CLERMONT, FL 34711-1977
(352) 323-9530
(321) 842-8290
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
MD22263
ME
208600000X
Surgery Physician
Primary
ME170482
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
124065300
—
FL
Enumeration date
04/06/2012
Last updated
10/16/2024
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