Individual
ALEXANDER C BONNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
1150 CAMPO SANO AVE, SUITE 410, CORAL GABLES, FL 33146-1174
(305) 669-3339
(305) 233-5220
Mailing address
1150 CAMPO SANO AVE, SUITE 410, CORAL GABLES, FL 33146-1174
(305) 669-3339
(305) 233-5220
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
PO626
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
029603100
SFCN
FL
05
—
029603100
—
FL
01
—
16002
SFCN/PSN
FL
01
—
212695
AVMED
FL
01
—
406480210
RAILROAD MEDICARE
FL
01
—
650025975
TAX ID
FL
01
—
650028975
AETNA
FL
01
—
87359
BLUE CROSS BLUE SHIELD
FL
Enumeration date
11/17/2005
Last updated
05/13/2008
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