Doctor Name: | DR. BRIAN BUNING |
NPI Number: | 1053794289 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | TRN21685 |
Business Practice Address: | 1414 Kuhl Ave # Mp31 Orlando, FL - 328062008 |
Business Phone Number: | 4072376329 |
Business Fax Number: | 4076493083 |
Mailing Address: | 1414 Kuhl Ave # Mp31, ORLANDO |
State: | FL |
Postal Code: | 328062008 |
Phone Number: | 4072376329 |
Fax Number: | 4076493083 |
NPI Enumeration Date: | 07/07/2015 |
NPI Last Update Date: | 07/07/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 390200000X |
License Number: | TRN21685 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Student, Health Care |
Taxonomy Classification: | Student in an Organized Health Care Education/Training Program |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |