Individual
SAMANTHA BONILLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
4915 EHRLICH RD, TAMPA, FL 33624-2038
(813) 591-4570
(813) 591-4570
Mailing address
4915 EHRLICH RD, TAMPA, FL 33624-2038
(813) 591-4570
(813) 591-4570
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
APRN9226889
FL
363LP2300X
Primary Care Nurse Practitioner
APRN9226889
FL
Other
Enumeration date
04/27/2016
Last updated
02/10/2025
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