Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Bonita J Drake M D, PA

Organization Dermatology Physician · NPI 1669745162

Bonita J Drake M D, PA provides Dermatology Physician services in Saint Petersburg, Florida. Licensed in Florida. Registered with an NPI since 2012.

Licensed in
FL
In the registry since
2012
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

3950 3rd St N
Saint Petersburg, FL 33703-6123 Not confirmed with CMS for 14 years — call before visiting
Phone: (727) 821-0612
Fax: (727) 822-5507
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X · Licence ME15815 (FL)

Record details

NPI number1669745162
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Bonita Drake — Owner · (727) 821-0612
NPI enumeratedFebruary 14, 2012
Last updated in NPPESFebruary 14, 2012
Mailing address3950 3rd St N, Saint Petersburg, FL 33703-6123

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