Individual
DR. CARLOS DANIEL BONILLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
3900 NW 79TH AVE, SUITE 201, DORAL, FL 33166-6556
(305) 599-8800
(305) 599-8877
Mailing address
3900 NW 79TH AVE, SUITE 201, DORAL, FL 33166-6556
(305) 599-8800
(305) 599-8877
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH8994
FL
Other
Enumeration date
12/07/2011
Last updated
12/07/2011
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