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Search › Florida › 363A00000X

Loren Bonenclark, PA-C

NPI 1639629579 · on the registry since 2016

Practice

Address
1301 Palm Ave
Jacksonville, FL 32207
Phone
(904) 202-7300
Fax
(904) 202-7433
Organisation at this address
Walgreen Co
Lyerly Baptist Inc
Pavilion Infusion Therapy Inc
Southern Baptist Hospital Of Florida, Inc
Baptist Md Anderson Cancer Physicians Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
155

Registry record

Primary taxonomy
363A00000X
363A00000X
Also registered as
363AS0400X
363AS0400X
Licence states on file
FL, MD
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2019-09-24

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