Timothy Douglas Bundy
Pain Medicine
324 S Hyde Park Ave Ste 275
Tampa
, Florida 33606-4118
Timothy Douglas Bundy
Pain Medicine
324 S Hyde Park Ave Ste 275
Tampa
, Florida 33606-4118
(813) 354-3448
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About
Features
Specialties
- Pain Medicine
Languages spoken
- English
Location
First Address
- Timothy Douglas Bundy
- 324 S Hyde Park Ave Ste 275
- Tampa, FL
- Zip : 33606-4118
- Fax : (813) 354-3448
- Phone : (816) 916-2081
Second Address
- Timothy Douglas Bundy
- 324 S Hyde Park Ave Ste 275
- Tampa, FL
- Zip : 33606-4118
- Fax : (813) 354-3448
- Phone : (816) 916-2081
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 2081P2900X | Pain Medicine | OS11805 | FL |
National Provider Identifier
| NPI | 1396973764 |
|---|---|
| Provider Name | Timothy Douglas Bundy |
| First Address | Tampa, FL 33606-4118 |
| Second Address | Tampa, FL 33606-4118 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 24/06/2009 |
| Last Update Date | 28/01/2021 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.