Yanisse Leonor Bonilla PA-C

NPI 1003242207 - Physician Assistant - 363AM0700X

NPI Details
NPI 1003242207
Gender Female
Enumeration Date 09/19/2013
Last Updated 01/23/2014
Entity Type Individual
Active Over 3 years ago
Practice Location
8905 SW 87TH AVE
MIAMI FL, 33176-2227, US
Phone (305) 667-8686
Fax (305) 667-8680
Business Location
15935 SW 90TH AVE
PALMETTO BAY FL, 33157-1923, US
Phone (786) 226-3539
Fax
Toxanomy
Taxonomy Code 363AM0700X
License State Florida
License Number PA 9107385
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According to our database, Mrs. Yanisse Leonor Bonilla PA-C NPI is 1003242207, taxonomy code is 363AM0700X and license number is PA 9107385, license state is located at Florida. Yanisse Leonor Bonilla PA-C physically located at 8905 Sw 87th Ave, Miami FL, 33176-2227. NPI Number Yanisse Leonor Bonilla PA-C has the Individual type.

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1003242207 NPI number is provided on an as is basis without warranty of any kind. 1003242207 is maintained by the National Plan & Provider Enumeration System. The contents of Yanisse Leonor Bonilla PA-C are for informational purposes only.