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Contact Information

JOSEPH BANDUR
17307 PAGONIA ROAD
SUITE 100
CLERMONT, FL34711
 Phone: 352-989-4941
 Fax: 352-404-6971
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Chiropractor

111N00000X 35 Chiropractic
Indicates primary specialty

NPI Profile & details for JOSEPH BANDUR · (Male)

NPI Number 1013079037
Status Active
Credentials
Entity Individual
Enumeration date 12/15/2006
Last updated 08/27/2014 - About 5 years ago
Sole proprietor 1 Yes
Identifiers
  • FL License # CH 7683
  • FL Medicaid 008389400
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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