Individual
DR. JOHN BUNNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3800 WOODBRIAR TRL, PORT ORANGE, FL 32129-9626
(386) 322-4752
Mailing address
3800 WOODBRIAR TRL, PORT ORANGE, FL 32129-9626
(386) 322-4752
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
ME98391
FL
207QH0002X
Hospice and Palliative Medicine (Family Medicine) Physician
Primary
ME98391
FL
Other
Enumeration date
05/21/2007
Last updated
01/18/2017
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