Individual
DR. ERNESTO BONILLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2950 CLEVELAND CLINIC BLVD, WESTON, FL 33331-3609
(954) 659-5000
Mailing address
2950 CLEVELAND CLINIC BLVD, WESTON, FL 33331-3609
(954) 659-5000
Taxonomy
Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
Primary
ME94228
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
277931500
—
FL
Enumeration date
08/31/2005
Last updated
11/02/2011
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