Bonhomme, Idler

Bonhomme, Idler is an individual health care provider with primary practice located at 6388 Silver Star Rd Ste 1E , Orlando FL 32818-3235. He recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist is his primary health care specialty. Bonhomme, Idler can be contacted via phone (321) 369-9133.

Contact Information

Primary practice address
6388 Silver Star Rd Ste 1E Orlando FL 32818-3235
Phone: (321) 369-9133
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist 225700000X MA32752 Florida
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X PT21887 Florida

Profile Details

NPI number 1427008556
LBN Legal business name Bonhomme, Idler
Credentials LMT MPT
Entity Individual
Sole proprietor 1 No
Enumeration date May 11th, 2006
Last updated Jan 5th, 2021 - about 3 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 1427008556 NPPES
Florida MEDICAID 891208400

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