| Punger Family Medicine, Llc | |
|
4640 S 25th St Fort Pierce FL 34981-5057 | |
| (772) 466-8884 | |
| (772) 466-8832 |
| Full Name | Punger Family Medicine, Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 4640 S 25th St, Fort Pierce, Florida |
| Authorized Official Name and Position | Denise L Punger (PRESIDENT) |
| Authorized Official Contact | 7724668884 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Punger Family Medicine, Llc 4640 S 25th St Fort Pierce FL 34981-5057 Ph: (772) 466-8884 | Punger Family Medicine, Llc 4640 S 25th St Fort Pierce FL 34981-5057 Ph: (772) 466-8884 |
| NPI Number | 1447503255 |
|---|---|
| Provider Enumeration Date | 10/17/2012 |
| Last Update Date | 10/17/2012 |
| Medicare PECOS PAC ID | 9032343611 |
|---|---|
| Medicare Enrollment ID | O20131015000566 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447503255 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Denise Lynne Punger |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1851398994 PECOS PAC ID: 2163492240 Enrollment ID: I20101122000558 |
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