Individual
DR. RAFAEL M BONILLA-MARQUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2605 W SWANN AVE STE 100, TAMPA, FL 33609-4039
(813) 874-5500
(813) 874-5505
Mailing address
PO BOX 22205, BELFAST, ME 04915-4473
(813) 874-5500
(813) 874-5505
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
ME0046378
FL
Other
Enumeration date
09/16/2006
Last updated
08/01/2024
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