Organization
COMPASS NEPHROLOGY CARE, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLES AARON BONANNO MD (SOLE PROPRIETOR)
(954) 590-0556
Entity
Organization
Contact information
Practice address
2685 EXECUTIVE PARK DR STE 5, WESTON, FL 33331-3651
(954) 590-0556
Mailing address
2685 EXECUTIVE PARK DR STE 5, WESTON, FL 33331-3651
(954) 590-0556
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
—
—
207RN0300X
Nephrology Physician
Primary
—
—
Other
Enumeration date
04/18/2023
Last updated
12/05/2023
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