Smeryage, Bonnie

Smeryage, Bonnie is an individual health care provider with primary practice located at 1131 N 35Th Ave Ste 210 , Hollywood FL 33021-5403. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Smeryage, Bonnie can be contacted via phone (954) 265-9344.

Contact Information

Primary practice address
1131 N 35Th Ave Ste 210 Hollywood FL 33021-5403
Phone: (954) 265-9344
Fax: (954) 265-9343
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X ARNP 9221339 Florida

Profile Details

NPI number 1174930861
LBN Legal business name Smeryage, Bonnie
Credentials ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 15th, 2014
Last updated Mar 17th, 2021 - about 5 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 1174930861 NPPES
Florida MEDICAID 012483900

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