CHRISTINA BUNGO


Address: 4500 San Pablo Rd S, Jacksonville, FL 32224-1865
Phone: 9049532000

CHRISTINA BUNGO (NPI# 1831534874) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1831534874
Entity Type Individual
Full Name CHRISTINA BUNGO
Credential D.O.
Practice Address 4500 San Pablo Rd S
Jacksonville
FL 32224-1865
Practice Telephone 9049532000
Mailing Telephone 9049532000
Enumeration Date 2013-05-03
Last Update Date 2020-08-03
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207QG0300X Family Medicine
Specialization: Geriatric Medicine
A-2388-20 NM Allopathic & Osteopathic Physicians
N 390200000X Student in an Organized Health Care Education/Training Program UO 3532 FL Student, Health Care

Office Location

Street Address 4500 SAN PABLO RD S
City JACKSONVILLE
State FL
Zip Code 32224-1865

Providers in the same location

NPI Name Taxonomy Address Enumeration
1891799136 Richard Clarke Agnew Thoracic Surgery (Cardiothoracic Vascular Surgery) 4500 San Pablo Rd S, Jacksonville, FL 32224-1865 2005-06-01
1427657964 Brianna Iannarelli Nurse Anesthetist, Certified Registered 4500 San Pablo Rd S, Jacksonville, FL 32224-1865 2020-10-24
1538768981 Heather Anne Dahlen Nurse Practitioner 4500 San Pablo Rd S, Jacksonville, FL 32224-1865 2020-10-17
1578161717 Szilvia Fortner Nurse Practitioner 4500 San Pablo Rd S, Jacksonville, FL 32224-1865 2020-10-10
1265049464 Carolyn Gonzalez Nurse Practitioner 4500 San Pablo Rd S, Jacksonville, FL 32224-1865 2020-09-30
1467065748 Ifeloluwa A Olutola Family Medicine 4500 San Pablo Rd S, Jacksonville, FL 32224-1865 2020-08-26
1366055568 Krina Dipak Vyas Pharmacist 4500 San Pablo Rd S, Jacksonville, FL 32224-1865 2020-08-26
1356954911 Haleigh Diane Shelton Pharmacist 4500 San Pablo Rd S, Jacksonville, FL 32224-1865 2020-08-24
1215548805 Victoria Zeilinger Reams Pharmacist 4500 San Pablo Rd S, Jacksonville, FL 32224-1865 2020-08-16
1558971382 Rachel Marie Hannon Nurse Practitioner 4500 San Pablo Rd S, Jacksonville, FL 32224-1865 2020-08-06
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1356974372 Noelle Parker Specialist/Technologist 1 Unf Drivve, Jacksonville, FL 32224 2020-02-18
1124685102 Charcy Rene Stiller Specialist/Technologist 1 Unf Dr., Jacksonville, FL 32224 2019-05-24
1265097513 Mayo Clinic Jacksonville Ambulance 13970 Zumbro Dr, Jacksonville, FL 32224 2019-05-02
1639681471 Brigantti Anesthesia & Spine Care Clinic/Center 1361 13th Ave South Suite #210, Jacksonville, FL 32224 2017-11-02
1093240061 Beric Emilio Berlioz Anesthesiology 4500 San Pablo Rd S # J, Jacksonville, FL 32224 2017-04-26
1609240746 Matthew James Dailey Nurse Anesthetist, Certified Registered 2500 San Pablo Rd S, Jacksonville, FL 32224 2015-11-29
1003299603 Upscale Personal Care Home Assisted Living Facility 4375 Autumn River Road, Jacksonville, FL 32224 2015-07-01
1629459375 Bellanid Fonseca Social Worker 3694 Summerlin Ln E, Jacksonville, FL 32224 2015-06-17
1164840500 Nicholas Scotto Physical Therapist 11555 Central Pkwy Ste 1104, Jacksonville, FL 32224 2014-04-02
1497093454 Quicker Care Urgent Care Point of Service 13770 Beach Blvd., Unit # 4, Jacksonville, FL 32224 2013-01-27
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Taxonomy Information

Taxonomy Code 207QG0300X
Grouping Allopathic & Osteopathic Physicians
Classification Family Medicine
Specialization Geriatric Medicine

Taxonomy Definition

A family medicine physician with special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes, and the hospital.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Family Medicine, 2007. http://wwwtheabfm.org/. American Osteopathic Board of Family Medicine, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1306107099 Baptist Agewell Physicians Inc Family Medicine 3563 Philips Hwy Ste 101, Jacksonville, FL 32207 2012-05-30
1316273535 Zhi Yu, Md, Pllc Family Medicine 4221 Stacey Rd E, Jacksonville, FL 32250-2100 2009-10-22
1306092549 Coastal Mobile Medical Doctor, Pa Family Medicine 203 Stagecoach Dr, Jacksonville, NC 28546-9617 2008-08-07
1417065236 Narender D Arcot Family Medicine 31 Office Park Dr, Jacksonville, NC 28546-3219 2006-08-29
1679513477 David J Samara Family Medicine 6555 Chester Ave Ste 1, Jacksonville, FL 32217-2279 2006-06-08
1518934272 Leonardo Sison Delrosario Family Medicine 225 W Ashley St, Jacksonville, FL 32202-4141 2006-03-01
1770575052 Belton Craig Ray Family Medicine 2627 Riverside Ave, Jacksonville, FL 32204-4712 2005-08-22
1124024310 Eugene Rawson Griffin IIi Family Medicine 3627 University Blvd S, Ste 615, Jacksonville, FL 32216-7401 2005-06-22
1023595105 Baptist Agewell Physicians Inc Family Medicine 841 Prudential Dr Ste 180, Jacksonville, FL 32207-8350 2018-07-23
1679931372 Jax Visiting Medical Providers LLC Family Medicine 9957 Moorings Dr, 204, Jacksonville, FL 32257-2412 2016-02-09
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Competitor

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City JACKSONVILLE
Zip Code 32224

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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