Healthcare Provider Details

I. General information

NPI: 1306776976
Provider Name (Legal Business Name): MR. MARIO BIUNDO
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/22/2026
Last Update Date: 05/22/2026
Certification Date: 05/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

389 NW 1ST AVE
BOCA RATON FL
33432-3814
US

IV. Provider business mailing address

389 NW 1ST AVE
BOCA RATON FL
33432-3814
US

V. Phone/Fax

Practice location:
  • Phone: 561-289-9929
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2278G1100X
TaxonomyGeneral Care Certified Respiratory Therapist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: