Organization
JOSEPH W BONURA DPM PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSEPH WILLIAM BONURA DPM (PRESIDENT)
(904) 318-2088
Entity
Organization
Contact information
Practice address
226A SAINT JOE PLAZA DR, SUITE 127, PALM COAST, FL 32164-3615
(904) 318-2088
(904) 940-8669
Mailing address
226A SAINT JOE PLAZA DR, SUITE 127, PALM COAST, FL 32164-3615
(904) 318-2088
(904) 940-8669
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
—
—
Other
Enumeration date
06/12/2008
Last updated
06/12/2008
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