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NPI Verification

National Provider Identifier: 1154962645

Diangie Acosta Bonilla, MD

Individual Provider

Credentials

Primary Specialty

Family Medicine

Code: 207Q00000X

Practice Address

4390 66TH ST N

KENNETH CITY, FL 337094920

Phone: 727-513-4100

NPI Enumeration Date

October 5, 2019

NPI Number

1154962645

Data sourced from the official CMS NPPES Registry. This information is provided by the Centers for Medicare & Medicaid Services and is updated regularly.

View on CMS NPPES Registry