Individual
DR. ERIC GUNN BONENBERGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
25 W CRYSTAL LAKE ST, SUITE 200, ORLANDO, FL 32806-4475
(407) 254-2500
(407) 254-2557
Mailing address
25 W CRYSTAL LAKE ST, SUITE 200, ORLANDO, FL 32806-4475
(407) 254-2500
(407) 254-2557
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
ME91706
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2741083-00
—
FL
05
—
554793681A
—
GA
Enumeration date
02/06/2006
Last updated
03/18/2010
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