Organization
BON-BONE MEDICAL IMAGING, INC.
Active
Organization
BON-BONE MEDICAL IMAGING, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KAREN HARDY (BILLING MANAGER)
(561) 753-8557
Entity
Organization
Contact information
Practice address
6499 38TH AVE N, SUITE G2, ST PETERSBURG, FL 33710-1656
(727) 341-2866
(727) 341-2876
Mailing address
7040 SEMINOLE PRATT WHITNEY RD, STE. 25-166, LOXAHATCHEE, FL 33470-2468
(800) 664-2663
(561) 792-5199
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
102686
AVMED
DC
01
—
137014
PREFERRED CARE
FL
01
—
2243421
AETNA
FL
01
—
2243431
AETNA
FL
01
—
2243437
AETNA
FL
01
—
2592718
GHI
DC
01
—
579259
AETNA
FL
01
—
7723768
AETNA
FL
01
—
V1173
BC/BS
FL
01
—
V1267
BC/BS
FL
01
—
V1761
BC/BS
FL
01
—
V1836
BC/BS
FL
Enumeration date
06/13/2006
Last updated
08/22/2020
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