Bonavita, Matthew

Bonavita, Matthew is an individual health care provider with primary practice located at 169 Ashley Ave Rm 202 , Charleston SC 29425-8905. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / General Practice, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Bonavita, Matthew can be contacted via phone (843) 876-7080.

Contact Information

Primary practice address
169 Ashley Ave Rm 202 Charleston SC 29425-8905
Phone: (843) 876-7080
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / General Practice 208D00000X 90327 South Carolina
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X LL90327 South Carolina

Profile Details

NPI number 1215613658
LBN Legal business name Bonavita, Matthew
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 22nd, 2023
Last updated May 27th, 2025 - about last year

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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