Individual
JOSE L BONILLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
7050 GALL BLVD., ZEPHYRHILLS, FL 33541
(813) 783-6119
Mailing address
27402 BONTERRA LOOP #213, WESLEY CHAPEL, FL 33544
(787) 486-7001
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
9380885
FL
Other
Enumeration date
02/24/2017
Last updated
02/24/2017
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