BONITA J DRAKE (NPI# 1811091945) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811091945 |
| Entity Type | Individual |
| Full Name | BONITA J DRAKE |
| Credential | MD |
| Practice Address |
3950 3rd St N St Petersburg FL 33703-6123 |
| Practice Telephone | 7278210612 |
| Practice Fax Number | 7278225507 |
| Mailing Telephone | 7278210612 |
| Mailing Fax Number | 7278225507 |
| Enumeration Date | 2006-09-11 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207N00000X | Dermatology | 15815 | FL | Allopathic & Osteopathic Physicians |
| Street Address |
3950 3RD ST N |
| City | ST PETERSBURG |
| State | FL |
| Zip Code | 33703-6123 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063475044 | George William Stovall | Chiropractor | 3950 3rd St N, St Petersburg, FL 33703-6123 | 2006-04-10 |
| 1770768939 | Kimberley Anne Reynolds | Speech-Language Pathologist | 3950 3rd St N, St Petersburg, FL 33703-6123 | 2008-01-07 |
| 1740475755 | Pauline Dunstan | Speech-Language Pathologist | 3950 3rd St N, Suite D, St Petersburg, FL 33703-6123 | 2007-09-12 |
| 1316158694 | Kathleen M Gorman | Physical Therapist | 3950 3rd St N, Suite D, St Petersburg, FL 33703-6123 | 2007-05-25 |
| 1922219229 | Molly M Brock | Speech-Language Pathologist | 3950 3rd St N, St Petersburg, FL 33703-6123 | 2007-05-25 |
| 1164631271 | Jennifer M Mix | Speech-Language Pathologist | 3950 3rd St N, Suite D, St Petersburg, FL 33703-6123 | 2007-05-22 |
| 1538373832 | Alicia Martinez | Speech-Language Pathologist | 3950 3rd St N, Suite D, St Petersburg, FL 33703-6123 | 2007-05-09 |
| 1588795991 | Geralyn Huzicka Williams | Speech-Language Pathologist | 3950 3rd St N, Suite D, St Petersburg, FL 33703-6123 | 2007-03-08 |
| 1649326034 | Community Rehab Associates, Inc.. | Physical Therapist | 3950 3rd St N, Suite D, St Petersburg, FL 33703-6123 | 2007-01-26 |
| 1912053679 | Kristen Rutland | Speech-Language Pathologist | 3950 3rd St N, Suite D, St Petersburg, FL 33703-6123 | 2007-01-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376150276 | Stephanie Gayle Barnes | Rehabilitation Practitioner | 610 47th Ave N, St Petersburg, FL 33703 | 2020-09-25 |
| 1366945099 | St. Petersburg Free Clinic | General Practice | 5501 - 4th Street North, St. Petersburg, FL 33703 | 2018-03-08 |
| 1306381363 | Dominique Timothee | Behavioral Analyst | 4301 16th Street N, St Petersburg, FL 33703 | 2016-12-30 |
| 1962849455 | Bobbie Vaughn | Behavioral Analyst | 880 6th St. South, St. Petersburg, FL 33703 | 2013-05-24 |
| 1255672796 | Mary Paige Bourbeau | Nurse Practitioner | 5500 9th St N., St Petersburg, FL 33703 | 2013-03-07 |
| 1437435237 | Lynn Bonner-nelson | Counselor | 6161 Dr. Mlk Jr Street N. #204, Saint Petersburg, FL 33703 | 2011-10-25 |
| 1245545953 | Patricia Reynolds | Speech-Language Pathologist | 3950 3rd Street North, Suite D, Community Rehab Associates, St. Petersburg, Fl, FL 33703 | 2010-08-18 |
| 1326367145 | Sigurd T Rutkis | Occupational Therapist | 3835 1st Street Northeast, St. Petersburg, FL 33703 | 2010-05-18 |
| 1922338136 | Christy Carr | Mechanotherapist | 5560 Kelly Dr N, Saint Petersburg, FL 33703 | 2010-01-11 |
| 1871730317 | Ronald H Copenhaver Dmd Pa | Dentist | 4338 1st Street N, Suite C, St. Petersburg, FL 33703 | 2009-01-20 |
| Find all providers in zip 33703 | ||||
| Taxonomy Code | 207N00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Dermatology, 2007. http://www.abderm.org/ Board certification is provided by the American Board of Dermatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255981338 | Alexandra Coad | Dermatology | 2191 9th Ave N Ste 100, St Petersburg, FL 33713-7147 | 2019-09-19 |
| 1417421066 | Yvonne L Bruner | Dermatology | 4307 71st St N, St Petersburg, FL 33709-4513 | 2019-01-16 |
| 1396126744 | Katarina Rose Kesty | Dermatology | 100 40th Ave N, St Petersburg, FL 33703-6125 | 2015-06-11 |
| 1619105145 | Dermatology Partners of Saint Petersburg, LLC | Dermatology | 501 Mlk Jr St S, St Petersburg, FL 33705-1814 | 2009-06-23 |
| 1124215199 | John F Kirk Md, Pa | Dermatology | 4444 Central Ave, St Petersburg, FL 33711-1142 | 2007-10-03 |
| 1316139249 | Elizabeth Arrington | Dermatology | 1530 Dr Martin Luther King Jr St N, St Petersburg, FL 33704-4202 | 2007-08-14 |
| 1063517050 | Wanda M Boote | Dermatology | 2060 5th Ave N, St Petersburg, FL 33713-8012 | 2006-09-14 |
| 1689688830 | Carol Jeanne Sims-robertson | Dermatology | 2100 Dr Martin Luther King Jr St N, Divine Dermatology Pllc, St Petersburg, FL 33704-3264 | 2006-07-27 |
| 1841240462 | Margaret Ann Kelleher | Dermatology | 6110 Dr Martin Luther King Jr St N, St Petersburg, FL 33703-1142 | 2006-05-12 |
| 1609840487 | Margaret H Rinker | Dermatology | 6450 38th Ave N Ste 330, St Petersburg, FL 33710-1649 | 2006-02-16 |
| Find all providers in ST PETERSBURG | ||||
| City | ST PETERSBURG |
| Zip Code | 33703 |
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| 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.