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Individual

BONI MAY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
APRN

Contact information

Practice address
1613 N MILLS AVE, ORLANDO, FL 32803-1849
(407) 894-4474
(407) 894-7136
Mailing address
1613 N MILLS AVE, ORLANDO, FL 32803-1849
(407) 894-4474
(407) 894-7136

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN9263722
FL
363LG0600X
Gerontology Nurse Practitioner
Primary
APRN11003505
FL

Other

Enumeration date
05/22/2019
Last updated
01/14/2020
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