Provider Demographics
NPI:1851043293
Name:CUNDIFF, PAUL D (DC)
Entity Type:Individual
Prefix:DR
First Name:PAUL
Middle Name:D
Last Name:CUNDIFF
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:887 62ND STREET CIR E STE 101
Mailing Address - Street 2:
Mailing Address - City:BRADENTON
Mailing Address - State:FL
Mailing Address - Zip Code:34208-6218
Mailing Address - Country:US
Mailing Address - Phone:941-404-7684
Mailing Address - Fax:
Practice Address - Street 1:887 62ND STREET CIR E STE 101
Practice Address - Street 2:
Practice Address - City:BRADENTON
Practice Address - State:FL
Practice Address - Zip Code:34208-6218
Practice Address - Country:US
Practice Address - Phone:941-404-7684
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-01-26
Last Update Date:2022-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH13724111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor