| Doctor Name: | MRS. BERNICE DILLARD |
| NPI Number: | 1366556375 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | RN, MSN, APNC |
| License Number: | 26NN03620400 |
| Business Practice Address: | 1805 Hobbs Road Auburndale, FL - 338234644 |
| Business Phone Number: | 8639655400 |
| Business Fax Number: | 8639653739 |
| Mailing Address: | 1290 Golfview Ave, Attn: Accounts Receivable BARTOW |
| State: | FL |
| Postal Code: | 338306740 |
| Phone Number: | 8635197900 |
| Fax Number: | 8635197696 |
| NPI Enumeration Date: | 08/18/2006 |
| NPI Last Update Date: | 05/09/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LW0102X |
| License Number: | 26NN03620400 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NJ |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Women's Health |
| Taxonomy Definition: | |