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Contact Information

BONITA J DRAKE M.D, P.A
3950 3RD ST N
SAINT PETERSBURG, FL33703-6123
 Phone: 727-821-0612
 Fax: 727-822-5507
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dermatology

207N00000X 07 Physician/Dermatology
Indicates primary specialty

NPI Profile & details for BONITA J DRAKE M.D, P.A

NPI # 1669745162
LBN Legal business name BONITA J DRAKE M.D, P.A
Authorized official BONITA DRAKE - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 02/14/2012
Last updated 02/14/2012 - About 14 years ago
Identifiers
FL License # ME15815
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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