Individual
DR. MYRNA T BONETA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
10330 N DALE MABRY HWY, SUITE 190, TAMPA, FL 33618-4404
(813) 963-7788
(813) 443-8149
Mailing address
PO BOX 10744, CLEARWATER, FL 33757-8744
(727) 532-0002
(727) 266-4943
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
ME54178
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
023457900
—
FL
Enumeration date
05/24/2005
Last updated
03/06/2018
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