Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. BRIAN KEITH BONOMO, PAC
ActiveMR. BRIAN KEITH BONOMO, PAC is a Physician Assistant healthcare provider located in LECANTO, Florida. NPI 1124012596 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · LECANTO, FL
Registration Details
- NPI Number
- 1124012596
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 31, 2005 (20.772196788995 yrs)
- Last Updated
- Nov 12, 2022
- License
-
PA9101264 (FL)
Practice Information
- Address
-
525 N DACIE PTLECANTO, FL, 344618399Browse FL providers · Browse ZIP 34461
- Phone
- 3527462200
- Fax
- 3527469320
- Primary Specialty
-
Physician Assistant
363A00000X
Other Physician Assistant Providers in LECANTO, FL
| Name | Credential | NPI |
|---|---|---|
| STEPHEN JAMES SMENKOWSKI | PA-C | 1104804905 |
| RONALD CHRISTOPHER REUDINK | PA | 1962467654 |
| JOHN O GROOMS | PA-C | 1962549097 |
| DAVID M NEWTON | PA-C | 1437297108 |
| PATRICIA KATHLEEN SPITZER | PA | 1336489749 |
| MELANIE DAVIES | — | 1013380310 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.