SAMANTHA BONILLA

FLORIDA HOSPITAL MEDICAL GROUP INC

Dr SAMANTHA BONILLA is a female medical professional, specializing in Nurse Practitioner. She graduated in 2015.

Contact

FLORIDA HOSPITAL MEDICAL GROUP INC

661 E ALTAMONTE DR
SUITE 220
ALTAMONTE SPRINGS
FL
327015102

Tel: 4073035191

SAMANTHA BONILLA Information

Npi 1174978175
Pac Id 1355639543
Professional Enrollment Id I20161003002541
Last Name BONILLA
First Name SAMANTHA
Middle Name
Suffix
Gender F
Credential
Medical School Name OTHER
Graduation Year 2015
Primary Specialty NURSE PRACTITIONER
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name FLORIDA HOSPITAL MEDICAL GROUP INC
Group Practice Pac Id 0749186153
Number Of Group Practice Members 788
Line 1 Street Address 661 E ALTAMONTE DR
Line 2 Street Address SUITE 220
Marker Of Address Line 2 Suppression
City ALTAMONTE SPRINGS
State FL
Zip Code 327015102
Phone Number 4073035191
Hospital Affiliation Ccn 1 100007
Hospital Affiliation Lbn 1 FLORIDA HOSPITAL
Hospital Affiliation Ccn 2
Hospital Affiliation Lbn 2
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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