Individual
MRS. YANISSE LEONOR BONILLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
8940 N KENDALL DR STE 101E, MIAMI, FL 33176-2166
(305) 667-8686
(305) 667-8680
Mailing address
15935 SW 90TH AVE, PALMETTO BAY, FL 33157-1923
(786) 226-3539
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA 9107385
FL
Other
Enumeration date
09/19/2013
Last updated
03/01/2023
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