Organization
WJ BONNER MD PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLIAM JAMES BONNER MD (MANAGER)
(610) 529-4407
Entity
Organization
Contact information
Practice address
4960 SW 72ND AVE STE 408, MIAMI, FL 33155-5506
(786) 522-4959
(786) 522-4959
Mailing address
12051 SW 69TH PL, PINECREST, FL 33156-5429
(610) 529-4407
Taxonomy
Speciality
Code
Description
License number
State
261QP3300X
Pain Clinic/Center
Primary
—
—
Other
Enumeration date
05/30/2023
Last updated
12/03/2023
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