person
Erichsen R Bonostro, PAC
Surgical Physician Assistant in Lakeland, Florida
NPI 1902170327

Erichsen R Bonostro is a Surgical Physician Assistant based in Lakeland, FL and is specialized in Surgical. Erichsen R Bonostro practices in Lakeland, FL and has the professional credentials of PAC. The NPI Number for Erichsen R Bonostro is 1902170327 and holds a License No. PA9106442 (Florida).

The current practice location address for Erichsen R Bonostro is 1324 Lakeland Hills Blvd, Lakeland, FL and can be reached out via phone at 863-687-1321 and via fax at 863-284-1730. You can also correspond with Erichsen R Bonostro through the mailing address at 1324 LAKELAND HILLS BLVD, LAKELAND, FL - 33805 (mailing address contact number: ).

Location: 1324 Lakeland Hills Blvd, Lakeland, FL, 33805
person
Provider Profile Details
NPI Number
1902170327
Provider Name
Erichsen R Bonostro
Credential
PAC
Provider Entity Type
Individual
Gender
Male
Address
1324 Lakeland Hills Blvd, Lakeland, FL, 33805
Phone Number
863-687-1321
Fax Number
863-284-1730
Provider Enumeration Date
03/02/2012
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1324 Lakeland Hills Blvd
City
State
Zip
33805-4543
Phone Number
863-687-1321
Fax Number
863-284-1730
person
Provider Business Mailing Address Details
Address
1324 Lakeland Hills Blvd
City
State
Zip
33805
Phone Number
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
PA9106442 (Florida)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Surgical
Taxonomy
License No.
PA9106442 (Florida)
Definition
Definition to come...
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