Bundley, Georgetta

Bundley, Georgetta is an sole proprietor health care provider with primary practice located at 12902 Usf Magnolia Dr , Tampa FL 33612-9416. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine. Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine is her primary health care specialty. Bundley, Georgetta can be contacted via phone (888) 663-3488.

Contact Information

Primary practice address
12902 Usf Magnolia Dr Tampa FL 33612-9416
Phone: (888) 663-3488
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X TRN26730 Florida
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 144224 Florida
Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine 207QH0002X 144224 Florida
Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine 207RH0002X ME144224 Florida
Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine 207QH0002X ME144224 Florida

Profile Details

NPI number 1407341647
LBN Legal business name Bundley, Georgetta
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 29th, 2018
Last updated Jul 29th, 2022 - about 2 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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