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Individual

SOFIA MARCANO BONILLA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
400 CELEBRATION PL STE A150, CELEBRATION, FL 34747-4970
(407) 303-3824
(407) 303-3825
Mailing address
330 CALLE CORDOBA, URBANIZACION TORRIMAR, GUAYNABO, PR 00969

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
23700
PR
208600000X
Surgery Physician
ME163110
FL
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
06/13/2017
Last updated
09/24/2024
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