Individual
CHRISTOPHER ANGEL BONILLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
625 E TWIGGS ST STE 103, TAMPA, FL 33602-3910
(813) 228-7696
(813) 228-0677
Mailing address
PO BOX 74008272, CHICAGO, IL 60674-8272
(702) 899-0595
(702) 977-1496
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
MD.MD.61425224
WA
208100000X
Physical Medicine & Rehabilitation Physician
Primary
ME159166
FL
Other
Enumeration date
03/28/2019
Last updated
04/30/2026
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