Provider Demographics
NPI:1407577331
Name:BUMP HEALTH FLORIDA
Entity Type:Organization
Organization Name:BUMP HEALTH FLORIDA
Other - Org Name:BUMP HEALTH FLORIDA
Other - Org Type:Doing Business As
Authorized Official - Title/Position:INSURANCE SPECIALIST
Authorized Official - Prefix:
Authorized Official - First Name:GWENDOLYN
Authorized Official - Middle Name:
Authorized Official - Last Name:ARNDT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:309-740-3465
Mailing Address - Street 1:7719 N PIONEER LN
Mailing Address - Street 2:
Mailing Address - City:PEORIA
Mailing Address - State:IL
Mailing Address - Zip Code:61615-1910
Mailing Address - Country:US
Mailing Address - Phone:888-913-7879
Mailing Address - Fax:
Practice Address - Street 1:1635 S RIDGEWOOD AVE STE 208&209
Practice Address - Street 2:
Practice Address - City:SOUTH DAYTONA
Practice Address - State:FL
Practice Address - Zip Code:32119-8427
Practice Address - Country:US
Practice Address - Phone:888-913-7879
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:BUMP HEALTH INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2022-09-08
Last Update Date:2023-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies