Joseph J. Bonanno MD

NPI 1083619399 - Radiology - 2085R0001X

NPI Details
NPI 1083619399
Gender Male
Enumeration Date 06/15/2005
Last Updated 09/18/2007
Entity Type Individual
Active Over 12 years ago
Practice Location
1026 MAR WALT DR
FORT WALTON BEACH FL, 32547-6645, US
Phone (850) 863-5294
Fax (850) 864-1648
Business Location
2234 COLONIAL BLVD
FORT MYERS FL, 33907-1412, US
Phone (239) 931-7342
Fax (239) 931-7385
Toxanomy
Taxonomy Code 2085R0001X
License State Florida
License Number ME0023366
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According to our database, Dr. Joseph J. Bonanno MD NPI is 1083619399, taxonomy code is 2085R0001X and license number is ME0023366, license state is located at Florida. Joseph J. Bonanno MD physically located at 1026 Mar Walt Dr, Fort Walton Beach FL, 32547-6645. NPI Number Joseph J. Bonanno MD has the Individual type.

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1083619399 NPI number is provided on an as is basis without warranty of any kind. 1083619399 is maintained by the National Plan & Provider Enumeration System. The contents of Joseph J. Bonanno MD are for informational purposes only.