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Contact Information

JOSEPH W BONURA, DPM
140 GATEWAY CIRCLE
SUITE 3
SAINT JOHNS, FL32259-4085
 Phone: 904-318-2088
 Fax: 904-823-8873
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Podiatrist

213E00000X 48 Podiatry
Indicates primary specialty

NPI Profile & details for JOSEPH W BONURA · (Male)

NPI Number 1598759763
Status Active
Credentials DPM (Doctor of Podiatric Medicine)
Entity Individual
Enumeration date 09/02/2005
Last updated 10/19/2012 - About 14 years ago
Sole proprietor 1 No
Identifiers
  • FL License # PO 2739
  • FL Medicaid 390438500
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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