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Individual

DR. ALEXIS HERNANDEZ BONILLA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
13438 FORT KING RD, DADE CITY, FL 33525-5214
(352) 567-5266
(352) 567-3066
Mailing address
601 S HARBOUR ISLAND BLVD STE 200, TAMPA, FL 33602-5925
(727) 322-3439
(800) 928-7449

Taxonomy

Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
22808
PR
208D00000X
General Practice Physician
Primary
ACN1449
FL

Other

Enumeration date
06/28/2022
Last updated
10/02/2025
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