Organization
BONNI S. BISHOP, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BONNI S. BISHOP PSY.D. (OWNER)
(813) 361-2709
Entity
Organization
Contact information
Practice address
2406 STATE ROAD 60 EAST, #423, VALRICO, FL 33594
(813) 361-2709
(813) 685-2492
Mailing address
2406 S.R. 60 EAST #423, VALRICO, FL 33594
(813) 361-2709
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
PY7847
FL
Other
Enumeration date
11/22/2013
Last updated
11/22/2013
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