Bamgbose, Florence P

Bamgbose, Florence P is an sole proprietor health care provider with primary practice located at 1835 Buford Ct , Tallahassee FL 32308-4465. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Adult Health, Physician Assistants & Advanced Practice Nursing Providers / Gerontology. Physician Assistants & Advanced Practice Nursing Providers / Gerontology is her primary health care specialty. Bamgbose, Florence P can be contacted via phone (850) 459-7949.

Contact Information

Primary practice address
1835 Buford Ct Tallahassee FL 32308-4465
Phone: (850) 459-7949
Fax: (850) 671-2869
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X ARNP3314182 Florida
Physician Assistants & Advanced Practice Nursing Providers / Gerontology 363LG0600X ARNP3314182 Florida

Profile Details

NPI number 1720051840
LBN Legal business name Bamgbose, Florence P
Credentials ARNP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 9th, 2006
Last updated May 23rd, 2014 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1720051840 NPPES
Florida Other Y074D BC/BS FLORIDA
Florida Other P56944 BC/BS FLORIDA
Florida MEDICAID 305043200 BC/BS FLORIDA

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