SearchFloridaPhysician Assistant

Bonnie Grundel, PA-C

NPI 1528036696 · on the registry since 2006

Practice

Address
369 N Main St
Crestview, FL 32536
Phone
(850) 398-6963
Fax
(850) 398-8277
Organisation at this address
Main Street Medical Center
Main Street Medical Center Of Crestview, Pa
Inferred from a shared address, not stated in the registry.
Clinicians at this address
9

Registry record

Primary taxonomy
Physician Assistant
363A00000X
Licence states on file
FL
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2020-09-08

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Florida