Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
ERICHSEN R BONOSTRO, PAC
ActiveERICHSEN R BONOSTRO, PAC is a Surgical Physician Assistant healthcare provider located in LAKELAND, Florida. NPI 1902170327 is currently active in the NPPES registry. Verify at CMS.
Surgical Physician Assistant · LAKELAND, FL
Registration Details
- NPI Number
- 1902170327
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 2, 2012 (14.411242654208 yrs)
- Last Updated
- Jul 7, 2017
- Licenses
-
PA9106442 (FL)PA9106442 (FL)
Practice Information
- Address
-
1324 LAKELAND HILLS BLVDLAKELAND, FL, 338054543Browse FL providers · Browse ZIP 33805
- Phone
- 8636871321
- Fax
- 8632841730
- Primary Specialty
-
Surgical Physician Assistant
363AS0400X
- Additional Specialty
- Surgical Physician Assistant
Other Surgical Physician Assistant Providers in LAKELAND, FL
| Name | Credential | NPI |
|---|---|---|
| MR. KELLY L. MOORES | PA-C | 1417937194 |
| DONALD VINCENT CARDWELL JR. | PA | 1407828213 |
| MR. JAMES M. EMERSON JR. | PAC | 1336117993 |
| EDWARD JAMES CARROLL | PA-C | 1083676779 |
| JAIME TORRES | MS, PA-C | 1174688444 |
| JANET FAITH MCCABE | PA-C | 1750538294 |
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.