OrganizationActive
Bonita J Drake M.D, P.A
NPI 1669745162 · Dermatology Physician · Saint Petersburg, FL
Provider details
- NPI number
- 1669745162
- Entity type
- Organization
- Primary specialty
- Dermatology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Bonita Drake, Owner(727) 821-0612
- License
- ME15815 (FL)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(80/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
14 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
3950 3rd St N
Saint Petersburg, FL 33703-6123
Phone: (727) 821-0612
Fax: (727) 822-5507
Street-level locationGet directions
Mailing address
3950 3rd St N
Saint Petersburg, FL 33703-6123
Registry dates
- Enumerated
- 2012-02-14
- Last updated
- 2012-02-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.