Bondurant, Robert E

Bondurant, Robert E is an individual health care provider with primary practice located at 10095 Hillview Dr , Pensacola FL 32514-5428. He recently has only one registered license in Allopathic & Osteopathic Physicians / Geriatric Medicine, which is considered as his primary health care specialty. Bondurant, Robert E can be contacted via phone (850) 479-4000.

Contact Information

Primary practice address
10095 Hillview Dr Pensacola FL 32514-5428
Phone: (850) 479-4000
Fax: (850) 479-4034
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Geriatric Medicine 207RG0300X ME13174 Florida

Profile Details

NPI number 1023046976
LBN Legal business name Bondurant, Robert E
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 29th, 2006
Last updated Jun 15th, 2024 - about last year

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 1023046976 NPPES
Florida Other 17270 BLUE CROSS BLUE SHIELD
Florida Other 406291019 BLUE CROSS BLUE SHIELD
Florida MEDICAID 055316600 BLUE CROSS BLUE SHIELD
Florida Other 590-20207 BLUE CROSS BLUE SHIELD

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