Bonner, William James

Bonner, William James is an sole proprietor health care provider with primary practice located at 4960 Sw 72Nd Ave Ste 408 , Miami FL 33155-5506. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, Allopathic & Osteopathic Physicians / Pain Medicine. Allopathic & Osteopathic Physicians / Pain Medicine is his primary health care specialty. Bonner, William James can be contacted via phone (786) 522-4959.

Contact Information

Primary practice address
4960 Sw 72Nd Ave Ste 408 Miami FL 33155-5506
Phone: (786) 522-4959
Fax: (786) 522-4959
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X ME129977 Florida
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X MD450453 Pennsylvania
Allopathic & Osteopathic Physicians / Pain Medicine 2081P2900X ME129977 Florida

Profile Details

NPI number 1487919759
LBN Legal business name Bonner, William James
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 11th, 2012
Last updated Feb 14th, 2024 - about 2 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 1487919759 NPPES
Florida MEDICAID 019186500

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