Organization
CLAUDINA A BONILLA MD FCCP PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CLAUDIA BONILLA MD (PRESIDENT)
(727) 724-9395
Entity
Organization
Contact information
Practice address
1840 MEASE DR, SUITE # 405, SAFETY HARBOR, FL 34695-6602
(727) 724-9395
(727) 724-9626
Mailing address
1840 MEASE DR, SUITE # 405, SAFETY HARBOR, FL 34695-6602
(727) 724-9395
(727) 724-9626
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
ME0069669
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
379271400
—
FL
Enumeration date
10/30/2007
Last updated
01/27/2010
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