Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RI0200X | Infectious Disease | ME69674 | FL |
NPI | 1043288285 |
---|---|
Provider Name | William D Bone |
First Address | Panama City, FL 32405-4902 |
Second Address | Panama City, FL 32405-4902 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/03/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
28496 | BCBS OF FLORIDA (01) | FL |
G27463 | (02) | FL |