Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Professional Park Pediatrics PA

Organization Pediatrics Physician · NPI 1841289204

Professional Park Pediatrics PA provides Pediatrics Physician services in Tallahassee, Florida. Licensed in Florida. Registered with an NPI since 2005.

Licensed in
FL
In the registry since
2005
Specialties on file
4
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

1881 Professional Park Cir Ste 80
Tallahassee, FL 32308-4541 Not confirmed with CMS for 17 years — call before visiting
Phone: (850) 402-5454
Fax: (850) 402-5451
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence ME82183 (FL)
Pediatrics Physician Taxonomy 208000000X · Licence ME37597 (FL)
Pediatrics Physician Taxonomy 208000000X · Licence ME75773 (FL)
Pediatrics Physician Taxonomy 208000000X · Licence ME91797 (FL)

Record details

NPI number1841289204
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Walter Bunnell — President · (850) 402-5454
NPI enumeratedOctober 18, 2005
Last updated in NPPESSeptember 9, 2009
Mailing address1881 Professional Park Cir, Suite 80, Tallahassee, FL 32308-4541

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