Healthcare Provider Details

I. General information

NPI: 1932003704
Provider Name (Legal Business Name): KAYLE BUNCE MS, CCC-SLP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/06/2026
Last Update Date: 10/06/2026
Certification Date: 10/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14446 7TH ST
DADE CITY FL
33523-3108
US

IV. Provider business mailing address

14446 7TH ST
DADE CITY FL
33523-3108
US

V. Phone/Fax

Practice location:
  • Phone: 813-586-0802
  • Fax: 813-761-0755
Mailing address:
  • Phone: 813-586-0802
  • Fax: 813-761-0755

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License NumberSZ13761
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: