Health Care Hiring, Medical Jobs
Search from millions of jobs nationwide
Find health care employers in your area
NPI Search for Physicians and Health Care Providers
SUSAN E. BONENCLARK PA-C
>> Physician Assistant >> Physician Assistants & Advanced Practice Nursing ProvidersRegistrant NPI Number: 1578541223
Individual Registrant: SUSAN E. BONENCLARK PA-C
Gender: F
Not Sole Proprietor
Gender: F
Not Sole Proprietor
Location and contact information for practice:
5051 SE 110TH ST BELLEVIEW, FL 34420-3115 US
Tel: 352-674-1730 Fax: 352-674-8930
Tel: 352-674-1730 Fax: 352-674-8930
Contact information for business:
1020 LAKE SUMTER LNDG THE VILLAGES, FL 32162-2699 US
Tel: 352-674-8820 Fax: 352-674-8919
Tel: 352-674-8820 Fax: 352-674-8919
Registration Information:
NPI: 1578541223
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 363A00000X | Physician Assistants & Advanced Practice Nursing Providers Physician Assistant | FL | PA9103359 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
