Individual
JONATHAN MICHAEL BONIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
14550 OLD SAINT AUGUSTINE RD, JACKSONVILLE, FL 32258-2460
(904) 271-6000
Mailing address
5717 SONORA PASS DR, SPARKS, NV 89436-1813
(775) 515-2232
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
Primary
RN9550700
FL
Other
Enumeration date
12/14/2020
Last updated
12/14/2020
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