Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Professional Park Pediatrics PA

Organization Pediatrics Physician · NPI 1841289204

Professional Park Pediatrics PA is a Pediatrics Physician in Tallahassee, Florida. Licensed in Florida. Registered with an NPI since 2005.

Licensed in
FL
In the registry since
2005
Specialties on file
4
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1881 Professional Park Cir Ste 80
Tallahassee, FL 32308-4541
Phone: (850) 402-5454
Fax: (850) 402-5451
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Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence ME82183 (FL)
Pediatrics Physician Taxonomy 208000000X · Licence ME37597 (FL)
Pediatrics Physician Taxonomy 208000000X · Licence ME75773 (FL)
Pediatrics Physician Taxonomy 208000000X · Licence ME91797 (FL)

Record details

NPI number1841289204
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Walter Bunnell — President · (850) 402-5454
NPI enumeratedOctober 18, 2005
Last updated in NPPESSeptember 9, 2009
Mailing address1881 Professional Park Cir, Suite 80, Tallahassee, FL 32308-4541

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