Bonita J Drake M D, PA
Bonita J Drake M D, PA is a Dermatology Physician in Saint Petersburg, Florida. Licensed in Florida. Registered with an NPI since 2012.
- Licensed in
- FL
- In the registry since
- 2012
What do these letters mean?
- PA — Professional association
- A form of business registration, not a clinical qualification.
Practice location Address checks out
3950 3rd St NSaint Petersburg, FL 33703-6123
Phone: (727) 821-0612
Fax: (727) 822-5507
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Dermatology Physician (primary) | Taxonomy 207N00000X · Licence ME15815 (FL) |
|---|
Record details
| NPI number | 1669745162 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Bonita Drake — Owner · (727) 821-0612 |
| NPI enumerated | February 14, 2012 |
| Last updated in NPPES | February 14, 2012 |
| Mailing address | 3950 3rd St N, Saint Petersburg, FL 33703-6123 |
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