Individual
DR. CHARLES ANTHONY BONGIORNO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1940 HARRISON AVE, PANAMA CITY, FL 32405-4542
(850) 763-0017
(850) 692-5862
Mailing address
1940 HARRISON AVE, PANAMA CITY, FL 32405-4542
(850) 763-0017
(850) 692-5862
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
MD441952
PA
2084P0800X
Psychiatry Physician
Primary
ME131584
FL
2084P0804X
Child & Adolescent Psychiatry Physician
MD441952
PA
Other
Enumeration date
06/11/2008
Last updated
08/26/2019
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