Individual provider · Type 1 NPI

Bonnie L. Grundel, PA-C

Physician Assistant · Crestview, FL

NPI number 1528036696 Active

Practice location

369 N Main St
Crestview, FL 32536-3541

Fax (850) 398-8277

Mailing address

550 Redstone Ave W Ste 490
Crestview, FL 32536-6457

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000XPA9101053 (FL)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1528036696

Bonnie L. Grundel, PA-C's National Provider Identifier is 1528036696, issued on Mar 14, 2006. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Crestview, FL. The record was last updated on Sep 8, 2020.