OrganizationBunnell Medical Center IncFamily MedicineAllopathic & Osteopathic PhysiciansPractice Address700 E. Moody Blvd, Bunnell, FL 32110(386) 437-2481PECOS EnrollmentBased on the most recent information from CMS, provider Bunnell Medical Center Inc does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 10:05 AM.Profile DetailsProvider ID1720175649Provider TypeOrganizationFull NameBunnell Medical Center IncSubpartNoEnumeration Date10/10/2006Last Updated6/20/2008Contact InformationPractice LocationPractice Address700 E. Moody Blvd, Bunnell, FL 32110Phone(386) 437-2481Fax(386) 437-2404Mailing LocationMailing AddressPO Box 727, Bunnell, FL 32110-0727Phone(386) 437-2481Fax(386) 437-2024Authorized OfficialNameCanakaris, Georgia (Office Administrator)Phone(386) 437-2481Provider TaxonomiesCodeDescriptionLicenseCode207Q00000XPrimaryDescriptionFamily MedicineAllopathic & Osteopathic PhysiciansLicense4541Florida