Individual
DR. JEREMY BONJORNO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.P.M.
Contact information
Practice address
712 THE RIALTO, VENICE, FL 34285
(941) 488-0222
Mailing address
712 THE RIALTO, VENICE, FL 34285-3524
(941) 488-0222
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
PO3971
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A3B0A
BCBS
FL
Enumeration date
07/17/2015
Last updated
08/13/2018
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