OrganizationActive
Bunnell Medical Center Inc
NPI 1720175649 · Family Medicine Physician · Bunnell, FL
Provider details
- NPI number
- 1720175649
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Georgia Canakaris, Office Administrator(386) 437-2481
- License
- 4541 (FL)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
700 E. Moody Blvd
Bunnell, FL 32110
Phone: (386) 437-2481
Fax: (386) 437-2404
Street-level locationGet directions
Mailing address
Po Box 727
Bunnell, FL 32110-0727
Registry dates
- Enumerated
- 2006-10-10
- Last updated
- 2008-06-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.