Individual
DR. EDMUND DAVID BRUNDELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
9138 BONITA BEACH RD SE, BONITA SPRINGS, FL 34135-4291
(239) 947-5600
Mailing address
900 SW 28TH TER, CAPE CORAL, FL 33914-4295
(239) 772-0833
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH0007368
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
55595
BLUE CROSS BLUE SHIELD
FL
Enumeration date
12/06/2006
Last updated
07/08/2007
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