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PROFESSIONAL PARK PEDIATRICS P.A.
NPI 1841289204
Pediatrics in Tallahassee, FL

Active since October 18, 2005CLIA 10D0270243 · Certificate of Compliance
1881 PROFESSIONAL PARK CIR, SUITE 80, TALLAHASSEE, FL 32308(850) 402-5454(850) 402-5451 Get Directions Write a Review

NPPES record last updated: September 9, 2009. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Professional Park Pediatrics P.a. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PROFESSIONAL PARK PEDIATRICS P.A. (NPI 1841289204) is a healthcare organization registered as a pediatrics in Tallahassee, Florida and active in the NPI registry since October 2005. The organization holds a CLIA Certificate of Compliance certificate valid through December 19, 2026 and lists Walter G. Bunnell, President, as its authorized official.

NPPES Registry Identity

NPI1841289204
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NamePROFESSIONAL PARK PEDIATRICS P.A.
Location Address1881 PROFESSIONAL PARK CIR, SUITE 80Tallahassee, FL 32308-4541
Mailing Address1881 Professional Park Cir, Suite 80Tallahassee, FL 32308-4541 · (850) 402-5454 · Fax (850) 402-5451
Phone(850) 402-5454
Fax(850) 402-5451
Organization SubpartNo
Authorized OfficialWalter G. BunnellPresident · (850) 402-5454
Enumeration DateOctober 18, 2005
Last NPPES UpdateSeptember 9, 2009
✔ NPI 1841289204 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
Licenses✔ Licensed in FL · ME82183✔ Licensed in FL · ME37597✔ Licensed in FL · ME75773✔ Licensed in FL · ME91797
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
1881 PROFESSIONAL PARK CIR, Tallahassee, FL 32308
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Florida Blue (BlueCross BlueShield FL).Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Compliance 10D0270243

Professional Park Pediatrics PA · Tallahassee, FL
Active · expires Dec 19, 2026
CLIA Number10D0270243
Laboratory TypePhysician Office
Certificate Effective DateDecember 20, 2024
Certificate Expiration DateDecember 19, 2026
Laboratory DirectorWalter G. Bunnell
Laboratory Phone(850) 402-5454
Laboratory LocationProfessional Park Pediatrics PA1881 Professional Park Cir Ste 80, Tallahassee, FL 32308
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. MARY ANNE KOEPPEL A.R.N.P.
Nurse Practitioner (Pediatrics)
1881 PROFESSIONAL PARK CIR, SUITE 80
TALLAHASSEE, FL 32308
Leon County (850) 402-5454

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Professional Park Pediatrics P.A.'s NPI number?

The NPI number for Professional Park Pediatrics P.A. is 1841289204. It was assigned to this organization in the NPPES registry on October 18, 2005.

Where is Professional Park Pediatrics P.A. located?

Professional Park Pediatrics P.A. is located at 1881 Professional Park Cir Suite 80, Tallahassee, FL 32308. The listed phone number is (850) 402-5454.

What is Professional Park Pediatrics P.A.'s specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Does Professional Park Pediatrics P.A. hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 10D0270243) is associated with this NPI, valid through December 19, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Professional Park Pediatrics P.A. accept?

Health plans from Florida Blue (BlueCross BlueShield FL) list Professional Park Pediatrics P.A. as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Professional Park Pediatrics P.A. was last updated on September 9, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.