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HEIDI L KUNSTMAN M.D.
>> Pediatrics >> Allopathic & Osteopathic PhysiciansRegistrant NPI Number: 1811988702
Individual Registrant: HEIDI L KUNSTMAN M.D.
Gender: F
Not Sole Proprietor
Gender: F
Not Sole Proprietor
Location and contact information for practice:
930 S MAIN ST LABELLE, FL 33935-4444 US
Tel: 863-675-0160 Fax: 863-675-6219
Tel: 863-675-0160 Fax: 863-675-6219
Contact information for business:
PO BOX 1357 FORT MYERS, FL 33902-1357 US
Tel: 239-278-3600 Fax: 239-226-4650
Tel: 239-278-3600 Fax: 239-226-4650
Registration Information:
NPI: 1811988702
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 208000000X | Allopathic & Osteopathic Physicians Pediatrics | FL | ME87668 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
| 267709100 | FL | 05 | |
| BLUE CROSS | 71526 | FL | 01 |
