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Matthew J Bonanno, MD
Plastic and Reconstructive Surgery Physician in Venice, Florida
NPI 1679678338

Matthew J Bonanno is a Plastic and Reconstructive Surgery Physician based in Fort Myers, FL and is specialized in Plastic and Reconstructive Surgery. Matthew J Bonanno practices in Venice, FL and has the professional credentials of MD. The NPI Number for Matthew J Bonanno is 1679678338 and holds a License No. ME88794 (Florida).

The current practice location address for Matthew J Bonanno is 1295 Jacaranda Blvd, Venice, FL and can be reached out via phone at 941-484-1510 and via fax at 941-484-1071.

Location: 1295 Jacaranda Blvd, Venice, FL, 33908-5182
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1679678338
Provider Name
Matthew J Bonanno
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
1295 Jacaranda Blvd, Venice, FL, 33908-5182
Phone Number
941-484-1510
Fax Number
941-484-1071
Provider Enumeration Date
09/14/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
ME88794 01 FL FL MEDICAL LICENSE
institution
Provider Business Practice Location Address Details
Address
1295 Jacaranda Blvd
City
Venice
State
Florida
Zip
34292-4522
Phone Number
941-484-1510
Fax Number
941-484-1071
person
Provider Business Mailing Address Details
Address
1295 Jacaranda Blvd
City
Venice
State
Florida
Zip
34292-4522
Phone Number
941-484-1510
Fax Number
941-484-1071
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Surgery
Speciality
Plastic and Reconstructive Surgery
Taxonomy
2086S0122X
License No.
ME88794 (Florida)
Definition
A surgeon who specializes in plastic and reconstructive surgery.
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