| Patrick Bunyi Md Llc | |
|
819 Townsend Blvd Suite 4 Jacksonville FL 32211-6132 | |
| (904) 374-3311 | |
| Not Available |
| Full Name | Patrick Bunyi Md Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 819 Townsend Blvd, Jacksonville, Florida |
| Authorized Official Name and Position | Patrick Panajon Bunyi (OWNER) |
| Authorized Official Contact | 9043743311 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Patrick Bunyi Md Llc 819 Townsend Blvd Suite 4 Jacksonville FL 32211-6132 Ph: (904) 374-3311 | Patrick Bunyi Md Llc 819 Townsend Blvd Suite 4 Jacksonville FL 32211-6132 Ph: (904) 374-3311 |
| NPI Number | 1598081945 |
|---|---|
| Provider Enumeration Date | 04/09/2010 |
| Last Update Date | 08/29/2011 |
| Medicare PECOS PAC ID | 2466589676 |
|---|---|
| Medicare Enrollment ID | O20100420000704 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598081945 | NPI | - | NPPES |
| 1871518787 | Other | FL | NPI FOR PATRICK BUNYI, MD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | ME68800 (Florida) | Primary |
| Provider Name | Patrick P Bunyi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1871518787 PECOS PAC ID: 9335238344 Enrollment ID: I20071128000651 |
| Provider Name | Minerva V Pedroza |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346882131 PECOS PAC ID: 0648605782 Enrollment ID: I20200117000043 |
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