Boneta, Myrna T
Boneta, Myrna T is an individual health care provider with primary practice located at 10330 N Dale Mabry Hwy Suite 190, Tampa FL 33618-4404. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Boneta, Myrna T can be contacted via phone (813) 963-7788.Contact Information
Primary practice address
10330 N Dale Mabry Hwy Suite 190
Tampa FL 33618-4404
Phone: (813) 963-7788
Fax: (813) 443-8149
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | ME54178 | Florida |
Profile Details
| NPI number | 1790788685 |
|---|---|
| LBN Legal business name | Boneta, Myrna T |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 24th, 2005 |
| Last updated | Mar 6th, 2018 - about 6 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1790788685 | NPPES |
| Florida | MEDICAID | 023457900 |
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