SAMANTHA BONILLA

TAMPA, FL
NPI1174978175
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LA2200X Nurse Practitioner, Adult Health
(Licence: FL  APRN9226889)
Additional Taxonomies363LP2300X Nurse Practitioner, Primary Care
(Licence: FL  APRN9226889)
Enumeration Date2016-04-27
Last Update Date2025-02-10
Business Address
SAMANTHA BONILLA APRN
4915 EHRLICH RD
TAMPA, FL 33624-2038
Phone number: 813-591-4570
Mailing Address
SAMANTHA BONILLA APRN
4915 EHRLICH RD
TAMPA, FL 33624-2038
Phone number: 813-591-4570