POETCHANAPORN BUNDIT TONGDEE ARNP NPI 1093148728

NPI Information

NPI: 1093148728
Provider Name: POETCHANAPORN BUNDIT TONGDEE, ARNP
Classification: Nurse Practitioner - 363LP0808X
Entity Type: Individual

Specialization: Psychiatric/Mental Health

Organization: FLORIDA BEHAVIORAL INSTITUTE PLC

PECOS Registration: Yes

Address:
1106 DRUID RD S
SUITE 201
CLEARWATER, FL
ZIP 33756
Phone: (727) 584-6266
Get Directions

Poetchanaporn Bundit Tongdee, ARNP is a psychiatric/mental health nurse practitioner in Clearwater, FL with 13 years of experience. Poetchanaporn Bundit Tongdee, ARNP NPI is 1093148728. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1106 DRUID RD S
SUITE 201
CLEARWATER, FL
ZIP 33756-846
Phone: (727) 584-6266

The NPI 1093148728 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 8/16/2013 and was last updated on 3/15/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363L00000X	Nurse Practitioner		ARNP1478712	FLORIDA	No
2	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	ARNP1478712	FLORIDA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	609593	MEDICAID	FLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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