MR. BRIAN BONOMO, PAC
Physician Assistant
Active
Individual
NPI: 1124012596
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Physician Assistant | 363A00000X | Yes | PA9101264 (FL) |
Frequently Asked Questions
NPI 1124012596 is the National Provider Identifier for MR. BRIAN BONOMO, PAC, a Physician Assistant provider located in Lecanto, FL. This NPI was enumerated on August 31, 2005.
MR. BRIAN BONOMO, PAC practices at 525 N DACIE PT, Lecanto, FL 34461.
Quick Facts
- NPI
- 1124012596
- Type
- Individual
- Enumerated
- Aug 31, 2005
- Last Updated
- Nov 12, 2022
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