Provider Demographics
NPI:1871644351
Name:BUNK, JASON GREGORY (DC, ARNP)
Entity Type:Individual
Prefix:DR
First Name:JASON
Middle Name:GREGORY
Last Name:BUNK
Suffix:
Gender:M
Credentials:DC, ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1989 SE FEDERAL HWY
Mailing Address - Street 2:SUITE 201
Mailing Address - City:STUART
Mailing Address - State:FL
Mailing Address - Zip Code:34994-3949
Mailing Address - Country:US
Mailing Address - Phone:772-781-1816
Mailing Address - Fax:772-781-1876
Practice Address - Street 1:1989 SE FEDERAL HWY
Practice Address - Street 2:SUITE 201
Practice Address - City:STUART
Practice Address - State:FL
Practice Address - Zip Code:34994-3949
Practice Address - Country:US
Practice Address - Phone:772-781-1816
Practice Address - Fax:772-781-1876
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-13
Last Update Date:2014-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH8783111N00000X
FLARNP 9322762363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily