# WILLIAM J BONNER MD LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1730858184
- **Authorized official:** DR. WILLIAM JAMES BONNER MD (OWNER)
- **Authorized official phone:** (610) 529-4407

## Contact information

- **Practice address:** 520 CORAL LN, KEY LARGO, FL 33037-5127
- **Practice address phone:** (610) 529-4407
- **Mailing address:** 520 CORAL LN, KEY LARGO, FL 33037-5127

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | NULL | Yes |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | — | Yes |

## Other

- **Enumeration date:** 09/09/2021
- **Last updated:** 09/16/2021