Individual
BONNIE SCHWALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1980 SE OCEAN BLVD, STUART, FL 34996-3302
(772) 678-7043
Mailing address
1980 SE OCEAN BLVD, STUART, FL 34996-3302
(772) 678-7043
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
9113551
FL
363A00000X
Physician Assistant
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PA9113551
FLORIDA STATE LICENSE
FL
Enumeration date
04/02/2019
Last updated
02/06/2025
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