Professional Park Pediatrics P.A.
NPI 1841289204ActiveOrganization· Pediatrics· Tallahassee, FL
Pediatrics in Tallahassee, Florida, registered in NPPES in October 2005. The authorized official on file is Walter G. Bunnell, M.D., President.
Overview
| NPI | 1841289204 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Oct 18, 2005 |
| Last updated in NPPES | Aug 31, 2026 |
| Certified by provider | Aug 31, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pediatrics Primary | 208000000X | ME82183 | FL |
| Pediatrics | 208000000X | ME37597 | FL |
| Pediatrics | 208000000X | ME75773 | FL |
| Pediatrics | 208000000X | ME91797 | FL |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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