Individual
PAIGE BONILLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
2675 TAMPA RD, PALM HARBOR, FL 34684-3109
(727) 586-4432
Mailing address
3432 HARBOR LAKE DR, LARGO, FL 33770-4242
(636) 541-2633
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
11003749
FL
Other
Enumeration date
10/25/2019
Last updated
09/12/2025
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