Individual
DR. WILLIAM JAMES BONNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4960 SW 72ND AVE STE 408, MIAMI, FL 33155-5506
(786) 522-4959
(786) 522-4959
Mailing address
4960 SW 72ND AVE STE 408, MIAMI, FL 33155-5506
(786) 517-4577
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
MD450453
PA
208100000X
Physical Medicine & Rehabilitation Physician
ME129977
FL
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
ME129977
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
019186500
—
FL
Enumeration date
07/11/2012
Last updated
02/14/2024
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