# SUNCOAST SURGICAL ASSISTING OF FL, INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Sean D. Bonner, P.A.C., Inc.
- **Organization subpart:** No

## Provider details

- **NPI number:** 1609184258
- **Authorized official:** MR. SEAN D. BONNER PA (PRESIDENT)
- **Authorized official phone:** (352) 796-2791

## Contact information

- **Practice address:** 17362 PINTO LN., BROOKSVILLE, FL 34604-9066
- **Practice address phone:** (352) 796-2791
- **Practice address fax:** (352) 686-7154
- **Mailing address:** 17362 PINTO LN., BROOKSVILLE, FL 34604-9066
- **Mailing address phone:** (352) 796-2791
- **Mailing address fax:** (352) 686-7154

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363AS0400X | Surgical Physician Assistant | — | NULL | Yes |
| 363AS0400X | Surgical Physician Assistant | — | — | Yes |

## Other

- **Enumeration date:** 09/16/2010
- **Last updated:** 09/16/2010