Individual
JOSE BONET
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
411 NE 12TH AVE APT A309, HOMESTEAD, FL 33030-6249
(786) 619-6172
Mailing address
411 NE 12TH AVE APT A309, HOMESTEAD, FL 33030-6249
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
9111952
FL
Other
Enumeration date
01/12/2019
Last updated
01/12/2019
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