NPI | 1205625944 |
---|---|
Doing Business As | WILLIAM J BONNER MD |
Entity Type | Organization |
Authorized Contact | DANE TRASK Of CEO 813-787-1128 |
Organization Subpart ? | Yes |
Primary Taxonomy | 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine |
Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation |
Enumeration Date | 2025-04-30 |
Last Update Date | 2025-04-30 |