Individual
MS. BONNIE J POWERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MT(ASCP)
Contact information
Practice address
5901 BROKEN SOUND PKWY, STE. 500, BOCA RATON, FL 33487-2773
(561) 367-1175
Mailing address
539 AZALEA DR, #9, DESTIN, FL 32541-2369
(850) 240-2299
Taxonomy
Speciality
Code
Description
License number
State
246QM0706X
Medical Technologist
Primary
SU 26806
FL
Other
Enumeration date
07/10/2007
Last updated
07/10/2007
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