Individual
JANELLE C. BUNCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1035 PIPER BLVD STE 101, NAPLES, FL 34110-1449
(239) 465-4157
(239) 354-7603
Mailing address
12109 COUNTY ROAD 103, OXFORD, FL 34484-2951
(352) 205-8981
(352) 391-6498
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
018044
NY
363A00000X
Physician Assistant
Primary
PA9111294
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009562300
—
FL
01
—
9950128
AETNA
FL
01
—
Y0J29
BCBS OF FL
FL
Enumeration date
07/08/2006
Last updated
09/17/2020
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