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Contact Information

GEORGETTA BUNDLEY, MD
12902 USF MAGNOLIA DR
TAMPA, FL33612-9416
 Phone: 813-745-7365
 Fax: 813-449-8618
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Hospice and Palliative Medicine

207RH0002X 11 Physician/Internal Medicine
 

Family Medicine

207Q00000X 08 Physician/Family Practice
 

Hospice and Palliative Medicine

207QH0002X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for GEORGETTA BUNDLEY · (Female)

NPI # 1407341647
Status Active
Credentials MD
Entity Individual
Enumeration date 06/29/2018
Last updated 04/27/2026 - About a month ago
Sole proprietor 1 Yes
Identifiers
  • FL License # 144224
  • FL License # ME144224
  • FL License # TRN26730
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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