Individual
LADONNA K. BINGHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
501 6TH AVE S, ST PETERSBURG, FL 33701-4634
(727) 767-3051
(727) 767-4970
Mailing address
501 6TH AVE S, ST PETERSBURG, FL 33701-4634
(727) 767-3051
(727) 767-4970
Taxonomy
Speciality
Code
Description
License number
State
2080P0203X
Pediatric Critical Care Medicine Physician
Primary
ME94106
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
273541500
—
FL
01
—
U6077Z
MEDICARE PTAN
FL
Enumeration date
02/02/2006
Last updated
05/12/2016
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