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Individual
DR. CHARLES BONANNO
Active
Individual
DR. CHARLES BONANNO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
ME148408
FL
207RN0300X
Nephrology Physician
Primary
148408
FL
208M00000X
Hospitalist Physician
ME148408
FL
Other
Enumeration date
05/18/2018
Last updated
09/14/2023
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