Individual
HEIDI L KUNSTMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
930 S MAIN ST, LABELLE, FL 33935-4444
(863) 675-0160
(863) 675-6219
Mailing address
PO BOX 1357, FORT MYERS, FL 33902-1357
(239) 278-3600
(239) 226-4650
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
ME87668
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
267709100
—
FL
01
—
71526
BLUE CROSS
FL
Enumeration date
10/31/2005
Last updated
05/04/2017
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