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Brian Bonomo, PAC
NPI 1124012596 · on the registry since 2005
Practice
- Address
- 525 N Dacie Pt
Lecanto, FL 34461 - Phone
- (352) 746-2200
- Fax
- (352) 746-9320
- Organisation at this address
- Suncoast Dermatology And Skin Surgery Center, Pa
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 17
Registry record
- Primary taxonomy
- Physician Assistant
363A00000X
- Licence states on file
- FL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2022-11-12
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Florida