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1912523481
TIMOTHY BONDELL
TAMPA, FL
NPI
1912523481
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LP2300X Nurse Practitioner, Primary Care
(Licence: FL 11007560)
Enumeration Date
2020-06-22
Last Update Date
2020-06-22
Business Address
TIMOTHY BONDELL
12902 USF MAGNOLIA DR
TAMPA, FL 33612-9416
Phone number: 888-663-3488
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Mailing Address
TIMOTHY BONDELL
518 41ST AVE NE
ST PETERSBURG, FL 33703-5006
Phone number: 404-790-6895
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