Individual
MRS. BONITA LYNN BAILEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
912 E SLIGH AVE, TAMPA, FL 33604-5636
(813) 237-6988
Mailing address
22345 KINGSLEY LN, LAND O LAKES, FL 34639-4642
(813) 996-8534
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
ARNP 2178572
FL
Other
Enumeration date
08/30/2006
Last updated
01/09/2014
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