Individual
JONATHAN DAVID BOHNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
400 CELEBRATION PL STE A290, CELEBRATION, FL 34747-4970
(407) 303-3827
(407) 303-3828
Mailing address
933 BRANDY OAKS LOOP, WINTER GARDEN, FL 34787-2439
(407) 506-7844
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
9116306
FL
363A00000X
Physician Assistant
Primary
PA9116306
FL
Other
Enumeration date
09/06/2022
Last updated
11/14/2024
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