POETCHANAPORN BUNDIT TONGDEE


Address: 1106 Druid Rd S, Suite 201, Clearwater, FL 33756-3846
Phone: 7275846266

POETCHANAPORN BUNDIT TONGDEE (NPI# 1093148728) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1093148728
Entity Type Individual
Full Name POETCHANAPORN BUNDIT TONGDEE
Credential ARNP
Practice Address 1106 Druid Rd S
Suite 201
Clearwater
FL 33756-3846
Mailing Address 65 Irwin St W
Safety Harbor
FL 34695-2240
Practice Telephone 7275846266
Mailing Telephone 7277982927
Mailing Fax Number 7277982927
Enumeration Date 2013-08-16
Last Update Date 2016-03-15
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 363L00000X Nurse Practitioner ARNP1478712 FL Physician Assistants & Advanced Practice Nursing Providers
Y 363LP0808X Nurse Practitioner
Specialization: Psych/Mental Health
ARNP1478712 FL Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
FL 609593 05

Office Location

Street Address 1106 DRUID RD S
SUITE 201
City CLEARWATER
State FL
Zip Code 33756-3846

Providers in the same location

NPI Name Taxonomy Address Enumeration
1285633917 Allan Hull Haydon Specialist 1106 Druid Rd S, Suite 301, Clearwater, FL 33756-3846 2005-07-15
1538593066 Jenner Dean Social Worker 1106 Druid Rd S, Clearwater, FL 33756-3846 2013-09-03
1144652405 Tara Marie Stewart Counselor 1106 Druid Rd S, #201, Clearwater, FL 33756-3846 2013-08-08
1811236540 Behavioral Health Management Svcs, Inc. Case Management 1106 Druid Rd S, Clearwater, FL 33756-3846 2013-01-31
1174867378 Wenge Lu Internal Medicine 1106 Druid Rd S, Suite 101, Clearwater, FL 33756-3800 2012-11-12
1013280320 Carolyn Ann Johnson Social Worker 1106 Druid Rd S, Suite 201, Clearwater, FL 33756-3846 2012-02-16
1164727228 Yvette M Dixon Counselor 1106 Druid Rd S, Suite 201, Clearwater, FL 33756-3846 2011-01-21
1376787614 Clearwater Surgical Associates, Pllc Physician Assistant 1106 Druid Rd S, Ste 301, Clearwater, FL 33756-3846 2009-04-30
1548407414 Emily Elizabeth Bell Registered Nurse 1106 Druid Rd S, Suite 201, Clearwater, FL 33756-3846 2009-01-14
1992993489 Jeanne Denise Mulvihill Nurse Practitioner 1106 Druid Rd S, Suite 302, Clearwater, FL 33756-3846 2007-10-09
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1659998060 Guidewell Emergency Medicine Doctors, LLC Clinic/Center 1603 Missouri Ave, Clearwater, FL 33756 2020-07-01
1578104527 M.k. El-yousef, M.d. LLC Psychiatry & Neurology 1555 S. Ft Harrison Ave, Clearwater, FL 33756 2019-10-01
1124672670 Kayla Marie Flook Counselor 1106 Druid Rd S Suite 201, Clearwater, FL 33756 2019-08-01
1285192989 Amy Elizabeth Dickson Social Worker 1260 S Mlk Jr Ave Ste D, Clearwater, FL 33756 2019-03-12
1548789951 J. Carson Woolwine O.d. Pllc. Optometrist 912 S. Missouri Ave., Clearwater, FL 33756 2017-09-18
1760912349 Kelly Morrissey Counselor 1240 South Fort Harrison Ave., Clearwater, FL 33756 2017-06-15
1972033744 Edward Lewis Smith Audiologist-Hearing Aid Fitter 820 S Fort Harrison, Clearwater, FL 33756 2017-06-14
1700310422 Dedicated Senior Medical Center Clearwater, LLC. Non-Pharmacy Dispensing Site 855 S Highland Avenue, Dedicated Senior Medical Center St. Clearwater, LLC., Clearwater, FL 33756 2017-04-19
1306268339 Theresa Anne Ritz Counselor 1260 S Martin Luther King Jr Ave Ste D, Clearwater, FL 33756 2014-01-10
1649513276 Kerry Eileen Reller Family Medicine 708 Druid Rd. E, Clearwater, FL 33756 2013-04-02
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Taxonomy Information

Taxonomy Code 363LP0808X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Psych/Mental Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1518311653 Svg Mental Health Solutions Pllc Nurse Practitioner 806 Harbor Is, Clearwater, FL 33767-1806 2016-04-14
1477563419 Amy Ballou Nurse Practitioner 14041 Icot Blvd, Clearwater, FL 33760-3702 2006-08-09
1134761802 Cynthia Vance Morris Nurse Practitioner 1437 S Belcher Rd, Clearwater, FL 33764-2829 2019-10-14
1609426378 Maurice Foster Nurse Practitioner 1437 S Belcher Rd, Clearwater, FL 33764-2829 2019-09-16
1144880980 Cassandra Beck Nurse Practitioner 1437 S Belcher Rd, Clearwater, FL 33764-2829 2019-06-14
1336614114 Naoko Hurvitz Nurse Practitioner 1938 Soule Rd, Clearwater, FL 33759-1507 2018-10-09
1255819900 Joshua Drew Barnes Nurse Practitioner 1437 S Belcher Rd, Clearwater, FL 33764-2829 2018-08-04
1326547985 Gwendolyn Newton Nurse Practitioner 2960 Roosevelt Blvd, Clearwater, FL 33760-1952 2018-02-08
1962925446 Stephanie Stuart Nurse Practitioner 14400 49th St N, Clearwater, FL 33762-2890 2017-07-17
1407204704 Jacqulyn Yackel Nurse Practitioner 2960 Roosevelt Blvd, Clearwater, FL 33760-1952 2016-05-26
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Competitor

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City CLEARWATER
Zip Code 33756

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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