Individual
GEORGETTA BUNDLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
12902 USF MAGNOLIA DR, TAMPA, FL 33612-9416
(813) 745-7365
(813) 449-8618
Mailing address
12902 USF MAGNOLIA DR, TAMPA, FL 33612-9416
(813) 745-6395
(813) 449-8450
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
144224
FL
207Q00000X
Family Medicine Physician
TRN26730
FL
207QH0002X
Hospice and Palliative Medicine (Family Medicine) Physician
ME144224
FL
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
Primary
ME144224
FL
Other
Enumeration date
06/29/2018
Last updated
04/27/2026
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