Tongdee, Poetchanaporn Bundit

Tongdee, Poetchanaporn Bundit is an sole proprietor health care provider with primary practice located at 1106 Druid Rd S Suite 201, Clearwater FL 33756-3846. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is her primary health care specialty. Tongdee, Poetchanaporn Bundit can be contacted via phone (727) 584-6266.

Contact Information

Primary practice address
1106 Druid Rd S Suite 201 Clearwater FL 33756-3846
Phone: (727) 584-6266
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X ARNP1478712 Florida
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X ARNP1478712 Florida

Profile Details

NPI number 1093148728
LBN Legal business name Tongdee, Poetchanaporn Bundit
Credentials ARNP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 16th, 2013
Last updated Mar 15th, 2016 - about 10 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 1093148728 NPPES
Florida MEDICAID 609593

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