Professional Park Pediatrics P.a.

NPI #1841289204 in Tallahassee, Florida

Provider Information

NPI Number: 1841289204
Entity Type: Organization
Organization Name: Professional Park Pediatrics P.a.
Primary Specialty: Pediatrics
Enumeration Date: Oct 18, 2005
Last Updated: Sep 9, 2009

Practice Location

Address: 1881 PROFESSIONAL PARK CIR
Address 2: SUITE 80
City: Tallahassee
State: Florida
ZIP Code: 32308-4541
Phone: (850) 402-5454

Authorized Official

Name: DR. WALTER G. BUNNELL III, M.D.
Title: PRESIDENT
Phone: (850) 402-5454

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pediatrics	208000000X	Primary

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