Individual
BONNIE LEAGUE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1500 SW 1ST AVE, OCALA, FL 34471-6504
(352) 433-2825
Mailing address
150 SE 17TH ST STE 503, OCALA, FL 34471-5176
(352) 433-2825
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
9223266
FL
367500000X
Certified Registered Nurse Anesthetist
Primary
135543
FL
Other
Enumeration date
03/30/2020
Last updated
12/28/2022
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