Individual
GERALD BONILLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2320 DAIRY RD, SUITE 101, WEST MELBOURNE, FL 32904-5208
(321) 725-4948
(321) 725-0831
Mailing address
5000 CHESHIRE LN N, PLYMOUTH, MN 55446-3706
(888) 333-9152
(763) 268-4240
Taxonomy
Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
AS2624
FL
Other
Enumeration date
01/31/2008
Last updated
01/31/2008
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