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NPI Code Detail

MEDICARE: DR. MORGAN R BUNCH III MD

MEDICARE:  DR. MORGAN R BUNCH III MD
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
1207Q00000XFamily Medicine PhysicianME46088FL

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2080082876OTHERFLRAILROAD MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
105559OTHERFLBLUE CROSS BLUE SHIELD
34064464OTHERFLAETNA
48278605006OTHERFLCIGNA
5MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
60804929OTHERFLAETNA

General Provider Information

NPI Number : 1982685863
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MORGAN R BUNCH III MD
Provider Business Mailing Address
First Line : 95 BULLDOG BLVD
Second Line : SUITE 202
City : MELBOURNE
State : FL
Zip : 32901-3332
Country : US
Telephone Number : 321-727-2990
Fax Number : 321-724-0455
Provider Business Practice Location Address
First Line : 2181 S PATRICK DR
Second Line :
City : INDIAN HARBOUR BEACH
State : FL
Zip : 32937-4475
Country : US
Telephone Number : 321-777-1316
Fax Number : 321-309-5002
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/08/2005
Last Update Date : 03/06/2012

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Directions to “ DR. MORGAN R BUNCH III MD” Practice Location

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