Female

Samantha Bonilla APRN

Primary Care Nurse Practitioner in Altamonte Springs, FL(View on Map)

Full Name

Samantha Bonilla APRN

NPI Number

1174978175

NPI Type

Individual Provider

Gender

Female

Enumeration Date

04/27/2016

Specialties

(Taxonomies)

Code

363LP2300X
363LA2200X

Primary Taxonomy

Yes
No

Licenses

State

Florida

License Number

APRN9226889

Contact
Information

Purpose

Mailing
Location

Address

661 E ALTAMONTE DR STE 220
661 E ALTAMONTE DR STE 220

City

Altamonte Springs
Altamonte Springs

State

FL
FL

Postal Code

32701-5102
32701

Country

US
US

Telephone Number

(407) 303-5191
(407) 303-5191

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 08/19/2020

Provider Address

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