Professional Park Pediatrics P.A.

LBN: Professional Park Pediatrics P.A.
Professional Park Pediatrics P.A. is an health care organization with primary practice located at 1881 Professional Park Cir Suite 80, Tallahassee FL 32308-4541. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as the primary health care specialty. Professional Park Pediatrics P.A. can be contacted via phone (850) 402-5454, or through Bunnell, Walter G. via phone (850) 402-5454.

Contact Information

Primary practice address
1881 Professional Park Cir Suite 80 Tallahassee FL 32308-4541
Phone: (850) 402-5454
Fax: (850) 402-5451
Website:
Map and Directions
Authorized official contact:
Name: Bunnell, Walter G. Doctor of Medicine (MD)
Phone: (850) 402-5454

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X ME37597 Florida
Allopathic & Osteopathic Physicians / Pediatrics 208000000X ME75773 Florida
Allopathic & Osteopathic Physicians / Pediatrics 208000000X ME82183 Florida
Allopathic & Osteopathic Physicians / Pediatrics 208000000X ME91797 Florida

Profile Details

NPI number 1841289204
LBN Legal business name Professional Park Pediatrics P.A.
DBA Doing business as
Authorized official Bunnell, Walter G. Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Oct 18th, 2005
Last updated Sep 9th, 2009 - about 17 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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