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Search › Florida › 367500000X

Brian Bonzo

NPI 1174302806 · on the registry since 2023 · sole proprietor

Practice

Address
2080 Child St Dept 5000
Jacksonville, FL 32214
Phone
(904) 542-7300
Organisation at this address
Nh Jax
Nh Jacksonville
Nh Jacksonville
United States Navy
The Chesapeake Center
Inferred from a shared address, not stated in the registry.
Clinicians at this address
430

Registry record

Primary taxonomy
367500000X
367500000X
Also registered as
163W00000X
Licence states on file
RI, FL
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2023-10-10

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