Individual
LESLIE ANN BONILLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
18951 SW 312TH ST, HOMESTEAD, FL 33030-3842
(305) 744-2448
Mailing address
18951 SW 312TH ST, HOMESTEAD, FL 33030-3842
(305) 744-2448
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
11042380
FL
Other
Enumeration date
04/08/2026
Last updated
04/08/2026
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