Bonenberger, Eric Gunn

Bonenberger, Eric Gunn is an individual health care provider with primary practice located at 25 W Crystal Lake St Suite 200, Orlando FL 32806-4475. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Bonenberger, Eric Gunn can be contacted via phone (407) 254-2500.

Contact Information

Primary practice address
25 W Crystal Lake St Suite 200 Orlando FL 32806-4475
Fax: (407) 254-2557
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X ME91706 Florida

Profile Details

NPI number 1104898055
LBN Legal business name Bonenberger, Eric Gunn
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 6th, 2006
Last updated Mar 18th, 2010 - about 14 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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Identifiers

StateTypeNumberIssuer
All States NPI 1104898055 NPPES
Florida MEDICAID 2741083-00
Florida MEDICAID 554793681A

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