Individual
MISS CONSTANCE ANN BUMILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
7939 HARWOOD RD, SEMINOLE, FL 33777-3102
(727) 432-3449
(727) 397-0718
Mailing address
5220 BELFORT RD, STE 130, JACKSONVILLE, FL 32256-6017
(727) 867-5480
(888) 507-9833
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2685832
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
308215600
—
FL
01
—
Y114A
BCBS
FL
Enumeration date
03/08/2007
Last updated
09/19/2014
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