Individual
BONEY K. MCGONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
1472 N HARBOR CITY BLVD, MELBOURNE, FL 32935-6571
(321) 574-5376
Mailing address
1472 N HARBOR CITY BLVD, MELBOURNE, FL 32935-6571
(321) 574-5376
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
AP60677454
WA
363LF0000X
Family Nurse Practitioner
Primary
APRN6983412
FL
Other
Enumeration date
08/31/2006
Last updated
12/20/2022
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