Individual
MR. GARY BONNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ARNP
Contact information
Practice address
2 TAMPA GENERAL CIR, TAMPA, FL 33606-3571
(813) 821-8038
Mailing address
PO BOX 917770, ORLANDO, FL 32891-0001
(813) 661-6334
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
ARNP3107202
FL
363LA2200X
Adult Health Nurse Practitioner
Primary
ARNP3107202
FL
Other
Enumeration date
10/17/2006
Last updated
01/12/2026
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