Bonanno, Charles

Bonanno, Charles is an individual health care provider with primary practice located at 2685 Executive Park Dr Ste 5 , Weston FL 33331-3651. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Nephrology, Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Nephrology is his primary health care specialty. Bonanno, Charles can be contacted via phone (954) 590-0556.

Contact Information

Primary practice address
2685 Executive Park Dr Ste 5 Weston FL 33331-3651
Phone: (954) 590-0556
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X 148408 Florida
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X ME148408 Florida
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X ME148408 Florida

Profile Details

NPI number 1447740014
LBN Legal business name Bonanno, Charles
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 18th, 2018
Last updated Sep 14th, 2023 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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