Provider Demographics
NPI:1487232831
Name:BUNO, IMEE MARGRETHE CEZAR (FNP-C)
Entity Type:Individual
Prefix:
First Name:IMEE MARGRETHE
Middle Name:CEZAR
Last Name:BUNO
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:764 MEADOWLARK CT
Mailing Address - Street 2:
Mailing Address - City:LONGWOOD
Mailing Address - State:FL
Mailing Address - Zip Code:32750-3142
Mailing Address - Country:US
Mailing Address - Phone:407-733-2495
Mailing Address - Fax:
Practice Address - Street 1:405 W CENTRAL PKWY
Practice Address - Street 2:
Practice Address - City:ALTAMONTE SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:32714-2441
Practice Address - Country:US
Practice Address - Phone:407-790-4990
Practice Address - Fax:407-790-4862
Is Sole Proprietor?:No
Enumeration Date:2021-03-29
Last Update Date:2023-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL11010733363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily