Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207XS0117X | Orthopaedic Spine Surgeon | OS9537 | FL |
NPI | 1124094966 |
---|---|
Provider Name | Frank S Bono |
First Address | Tampa, FL 33607-5724 |
Second Address | Tampa, FL 33607-1416 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/02/2006 |
Last Update Date | 28/05/2015 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
90372 | BCBS OF FL (01) | FL |
I28159 | (02) | MI |
OS9537 | FLORIDA LICENSE (01) | FL |