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Individual

DR. AMY N BANOONI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
770 NORTHPOINT PKWY STE 200, WEST PALM BEACH, FL 33407-1901
(561) 655-3331
(561) 655-3744
Mailing address
770 NORTHPOINT PKWY STE 102, WEST PALM BEACH, FL 33407-1901
(561) 275-7604
(561) 802-5385

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
ME100114
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
280843900
FL
01
52906
BCBS OF FLORIDA
FL
Enumeration date
11/07/2005
Last updated
07/21/2022
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