R Maurice Bonilla M D P A
R Maurice Bonilla M D P A provides Internal Medicine Physician services in Tampa, Florida. Licensed in Florida. Registered with an NPI since 2006.
- Licensed in
- FL
- In the registry since
- 2006
Practice location Address checks out
905 W Platt StTampa, FL 33606-2113 Not confirmed with CMS for 18 years — call before visiting
Phone: (813) 254-0222
Fax: (813) 254-0204
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Internal Medicine Physician (primary) | Taxonomy 207R00000X · Licence ME0046378 (FL) |
|---|
Record details
| NPI number | 1588759484 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Carol Bonilla — Administrator · (813) 254-0222 |
| NPI enumerated | October 4, 2006 |
| Last updated in NPPES | May 28, 2008 |
| Mailing address | 905 W Platt St, Tampa, FL 33606-2113 |
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