Bonita J Drake M.D, P.a

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

ME15815 Issued in FL

Legal business name

BONITA J DRAKE M.D, P.A

Practice address

3950 3Rd St N
Saint Petersburg, FL 33703-6123

Phone

(727) 821-0612

Fax

(727) 822-5507

NPI assigned

Feb 14, 2012

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Bonita J Drake, M.D.

Title

Owner

Phone

(727) 821-0612

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1329177600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1329177600000",
    "number": "1669745162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3950 3RD ST N",
            "city": "SAINT PETERSBURG",
            "state": "FL",
            "postal_code": "337036123",
            "telephone_number": "727-821-0612",
            "fax_number": "727-822-5507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3950 3RD ST N",
            "city": "SAINT PETERSBURG",
            "state": "FL",
            "postal_code": "337036123",
            "telephone_number": "727-821-0612",
            "fax_number": "727-822-5507"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BONITA J DRAKE M.D, P.A",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-14",
        "last_updated": "2012-02-14",
        "status": "A",
        "authorized_official_last_name": "DRAKE",
        "authorized_official_first_name": "BONITA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "727-821-0612",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": "FL",
            "license": "ME15815",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bond W Thomas DC PA
• Sandra Lynn Bond
• Adriana Bonilla, O.T
• Eileen D Bonilla, LMHC
• Yolanda Bonilla, MD
• Laura Kristine Bonnemort, PSYD
• Lynn Bonner-Nelson, LMHC, CRC
• Desiree Lynn Bonnet, ARNP
• Robert Bonser, DMD
• Ernst Bontemps, MD

• Dermatology Physician in Saint Petersburg, FL
• Providers in Saint Petersburg, FL by specialty
• Dermatology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.