Bonville, Roxie Lee
Bonville, Roxie Lee is an individual health care provider with primary practice located at 981 37Th Pl , Vero Beach FL 32960-6541. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Bonville, Roxie Lee can be contacted via phone (772) 299-4255.Contact Information
Primary practice address
981 37Th Pl
Vero Beach FL 32960-6541
Phone: (772) 299-4255
Fax: (772) 299-5380
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | ARNP2509322 | Florida |
Profile Details
| NPI number | 1972594356 |
|---|---|
| LBN Legal business name | Bonville, Roxie Lee |
| Credentials | ARNP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 3rd, 2005 |
| Last updated | Jul 8th, 2007 - about 19 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1972594356 | NPPES |
| Florida | Other | Y046E | BLUE SHIELD |
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