Individual ProviderLouise Johnson WunschGeneral PracticeAllopathic & Osteopathic PhysiciansPractice Address6800 N Dale Mabry Hwy Ste 270, Tampa, FL 33614-3999(800) 223-1172PECOS EnrollmentBased on the most recent information from CMS, provider Louise Johnson Wunsch does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 11:47 AM.Profile DetailsProvider ID1225365158Provider TypeIndividualFull NameWunsch, Louise JohnsonTitleDr.CredentialLOUISE WUNSCH, MDGenderFemaleSole ProprietorYesEnumeration Date11/13/2009Last Updated11/13/2009Contact InformationPractice LocationPractice Address6800 N Dale Mabry Hwy Ste 270, Tampa, FL 33614-3999Phone(800) 223-1172FaxUnlisted FaxMailing LocationMailing Address6800 N Dale Mabry Hwy Ste 270, Tampa, FL 33614-3999Phone(800) 223-1172FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode208D00000XPrimaryDescriptionGeneral PracticeAllopathic & Osteopathic PhysiciansLicenseME 104743Florida