Bonura, Joseph William

Bonura, Joseph William is an individual health care provider with primary practice located at 140 Gateway Circle Suite 3, St Johns FL 32259-4085. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as his primary health care specialty. Bonura, Joseph William can be contacted via phone (904) 318-2088.

Contact Information

Primary practice address
140 Gateway Circle Suite 3 St Johns FL 32259-4085
Phone: (904) 318-2088
Fax: (904) 823-8873
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X PO 2739 Florida

Profile Details

NPI number 1598759763
LBN Legal business name Bonura, Joseph William
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 2nd, 2005
Last updated Oct 19th, 2012 - about 12 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 1598759763 NPPES
Florida MEDICAID 390438500

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