Bonilla, Adriana

Bonilla, Adriana is an sole proprietor health care provider with primary practice located at 727 20Th Ave N , St Petersburg FL 33704-3345. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, which is considered as her primary health care specialty. Bonilla, Adriana can be contacted via phone (727) 455-2047.

Contact Information

Primary practice address
727 20Th Ave N St Petersburg FL 33704-3345
Phone: (727) 455-2047
Fax: (727) 823-1303
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X OT4407 Florida

Profile Details

NPI number 1093980294
LBN Legal business name Bonilla, Adriana
Credentials Occupational Therapist (OT)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 28th, 2008
Last updated Apr 28th, 2008 - about 18 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 1093980294 NPPES
Florida MEDICAID 886485300

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