Healthcare Provider Details

I. General information

NPI: 1255805834
Provider Name (Legal Business Name): DR. CINDY BUNIN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/16/2019
Last Update Date: 03/05/2025
Certification Date: 02/03/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9001 N LAKE DASHA DR
PLANTATION FL
33324-3028
US

IV. Provider business mailing address

9001 N LAKE DASHA DR
PLANTATION FL
33324-3028
US

V. Phone/Fax

Practice location:
  • Phone: 954-732-5186
  • Fax:
Mailing address:
  • Phone:
  • Fax: 954-227-2704

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberMT1146
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: