MEDICARE: DR. JOSEPH MICHAEL BUNDAS D.C.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111N00000X	Chiropractor	4414	FL

General Provider Information

NPI Number	:	1538349881
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JOSEPH MICHAEL BUNDAS D.C.

Provider Business Mailing Address
First Line	:	3108 HARRISON AVE
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32804-3732
Country	:	US
Telephone Number	:	407-423-5124
Fax Number	:

Provider Business Practice Location Address
First Line	:	3108 HARRISON AVE
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32804-3732
Country	:	US
Telephone Number	:	407-423-5124
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/04/2007
Last Update Date	:	11/04/2007

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Directions to “ DR. JOSEPH MICHAEL BUNDAS D.C.” Practice Location

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