Drake, Bonita J

Drake, Bonita J is an individual health care provider with primary practice located at 3950 3Rd St N , St Petersburg FL 33703-6123. She recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as her primary health care specialty. Drake, Bonita J can be contacted via phone (727) 821-0612.

Contact Information

Primary practice address
3950 3Rd St N St Petersburg FL 33703-6123
Phone: (727) 821-0612
Fax: (727) 822-5507
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X 15815 Florida

Profile Details

NPI number 1811091945
LBN Legal business name Drake, Bonita J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 11th, 2006
Last updated Jul 8th, 2007 - about 17 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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