Bonilla, Claudina A
Bonilla, Claudina A is an sole proprietor health care provider with primary practice located at 301 Memorial Medical Pkwy , Daytona Beach FL 32117-5167. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pulmonary Disease, Allopathic & Osteopathic Physicians / Critical Care Medicine. Allopathic & Osteopathic Physicians / Critical Care Medicine is her primary health care specialty. Bonilla, Claudina A can be contacted via phone (407) 883-0655.Contact Information
Primary practice address
301 Memorial Medical Pkwy
Daytona Beach FL 32117-5167
Phone: (407) 883-0655
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Pulmonary Disease | 207RP1001X | ME0069669 | Florida |
Allopathic & Osteopathic Physicians / Critical Care Medicine | 207RC0200X | ME069669 | Florida |
Allopathic & Osteopathic Physicians / Pulmonary Disease | 207RP1001X | 040321 | Georgia |
Profile Details
NPI number | 1467497792 |
---|---|
LBN Legal business name | Bonilla, Claudina A |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Jun 19th, 2006 |
Last updated | Jul 11th, 2014 - about 11 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 | 1467497792 | NPPES |
Florida | MEDICAID | 379271400 |
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