Individual
MS. FLORENCE P BAMGBOSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
1835 BUFORD CT, TALLAHASSEE, FL 32308-4465
(850) 459-7949
(850) 671-2869
Mailing address
6271 WILLIAMS RD, TALLAHASSEE, FL 32311-8526
(850) 264-9070
(850) 671-2869
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
ARNP3314182
FL
363LG0600X
Gerontology Nurse Practitioner
Primary
ARNP3314182
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
305043200
—
FL
01
—
P56944
VISTA (MCD)
FL
01
—
Y074D
BC/BS FLORIDA
FL
Enumeration date
02/09/2006
Last updated
05/23/2014
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